Healthcare Provider Details

I. General information

NPI: 1629095385
Provider Name (Legal Business Name): PARIS-BOURBON COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 HIGH ST
PARIS KY
40361
US

IV. Provider business mailing address

PO BOX 228
PARIS KY
40362
US

V. Phone/Fax

Practice location:
  • Phone: 859-987-2110
  • Fax: 859-987-4640
Mailing address:
  • Phone: 859-987-2110
  • Fax: 859-987-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1417
License Number StateKY

VIII. Authorized Official

Name: JASON TAYLOR
Title or Position: EMS MAJOR
Credential:
Phone: 859-987-2120