Healthcare Provider Details

I. General information

NPI: 1043399108
Provider Name (Legal Business Name): BULLITT COUNTY FISCAL COURT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 SALT WELL RD
SHEPHERDSVILLE KY
40165-8288
US

IV. Provider business mailing address

PO BOX 6538 238 SALT WELL DRIVE
SHEPHERDSVILLE KY
40165-6538
US

V. Phone/Fax

Practice location:
  • Phone: 502-955-7580
  • Fax: 502-543-7244
Mailing address:
  • Phone: 502-955-7580
  • Fax: 502-543-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1613
License Number StateKY

VIII. Authorized Official

Name: KENNETH E HARDIN
Title or Position: DIRECTOR
Credential:
Phone: 502-543-7404