Healthcare Provider Details

I. General information

NPI: 1982602306
Provider Name (Legal Business Name): MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2005
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 COMMERCIAL DR
HARRODSBURG KY
40330-1084
US

IV. Provider business mailing address

130 COMMERCIAL DR
HARRODSBURG KY
40330-1084
US

V. Phone/Fax

Practice location:
  • Phone: 859-734-4486
  • Fax: 859-734-4484
Mailing address:
  • Phone: 859-734-4486
  • Fax: 859-734-4484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1365
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: PAUL W PARKS
Title or Position: DIRECTOR
Credential:
Phone: 859-734-4486