Healthcare Provider Details

I. General information

NPI: 1730181033
Provider Name (Legal Business Name): JESSAMINE COUNTY FISCAL COURT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S 2ND ST
NICHOLASVILLE KY
40356-1554
US

IV. Provider business mailing address

101 S 2ND ST STE B
NICHOLASVILLE KY
40356-1554
US

V. Phone/Fax

Practice location:
  • Phone: 859-887-2987
  • Fax: 859-881-0940
Mailing address:
  • Phone: 598-872-9878
  • Fax: 859-881-0940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1449
License Number StateKY

VIII. Authorized Official

Name: JAMES GOODPASTER
Title or Position: DIRECTOR/ CHIEF
Credential:
Phone: 859-887-2987