Healthcare Provider Details

I. General information

NPI: 1912907858
Provider Name (Legal Business Name): UNION EMERGENCY SERVICES ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9611 US HIGHWAY 42
UNION KY
41091-8810
US

IV. Provider business mailing address

PO BOX 1477
FLORENCE KY
41022-1477
US

V. Phone/Fax

Practice location:
  • Phone: 859-384-3342
  • Fax: 859-384-5261
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MORGAN
Title or Position: CHIEF
Credential:
Phone: 859-384-3342