=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184681686
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GALLATIN COUNTY FISCAL COURT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2006
-----------------------------------------------------
Last Update Date | 05/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 MAIN CROSS
-----------------------------------------------------
City | WARSAW
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41095
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-567-5691
-----------------------------------------------------
Fax | 859-567-4764
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392907
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-962-1484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | JUDGE EXECUTIVE
-----------------------------------------------------
Name | RYAN MORRIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 859-567-5691
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 1133
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------