Healthcare Provider Details

I. General information

NPI: 1689672586
Provider Name (Legal Business Name): BROWN AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ROGERS PARK SUITE 1
CYNTHIANA KY
41031-1242
US

IV. Provider business mailing address

PO BOX 589
MADISONVILLE KY
42431-5011
US

V. Phone/Fax

Practice location:
  • Phone: 859-234-1515
  • Fax: 859-234-1566
Mailing address:
  • Phone: 270-824-8123
  • Fax: 270-824-8140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. JONI DOUGLAS
Title or Position: VICE PRESIDENT
Credential:
Phone: 859-235-0622