Healthcare Provider Details

I. General information

NPI: 1861509911
Provider Name (Legal Business Name): MCINTOSH AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 HOWELL HEIGHTS
JACKSON KY
41339
US

IV. Provider business mailing address

PO BOX 170
JACKSON KY
41339
US

V. Phone/Fax

Practice location:
  • Phone: 606-666-9009
  • Fax: 606-666-7922
Mailing address:
  • Phone: 606-666-9009
  • Fax: 606-666-7922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number1649
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1652
License Number StateKY

VIII. Authorized Official

Name: MRS. IRENE MCINTOSH
Title or Position: OWNER DIRECTOR
Credential: PARAMEDIC
Phone: 606-666-9009