Healthcare Provider Details

I. General information

NPI: 1881693638
Provider Name (Legal Business Name): ESTILL COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 10/04/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MERCY COURT
IRVINE KY
40336-9998
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 606-723-2124
  • Fax: 304-521-1576
Mailing address:
  • Phone: 304-521-1576
  • Fax: 304-521-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DARREN G MUNCIE
Title or Position: DIRECTOR
Credential:
Phone: 606-723-2124