Healthcare Provider Details

I. General information

NPI: 1255432126
Provider Name (Legal Business Name): MENIFEE COUNTY FISCAL COURT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 LITTLE LEAGUE LANE
FRENCHBURG KY
40351
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 606-768-3200
  • Fax:
Mailing address:
  • Phone: 800-676-4785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1623
License Number StateKY

VIII. Authorized Official

Name: CHRIS MAYS
Title or Position: CHIEF
Credential:
Phone: 606-768-3200