Healthcare Provider Details

I. General information

NPI: 1427007590
Provider Name (Legal Business Name): ROCKCASTLE COUNTY AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 RICHMOND ST
MOUNT VERNON KY
40456-2706
US

IV. Provider business mailing address

PO BOX 589
MADISONVILLE KY
42431-5011
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-3575
  • Fax: 606-256-1246
Mailing address:
  • Phone: 270-824-8123
  • Fax: 270-824-8140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1298
License Number StateKY

VIII. Authorized Official

Name: MELINDA MONK
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 606-256-3575