MEDICARE: COUNTY OF POWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590014482	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000186228	OTHER	KY	ANTHEM
3	50011154	OTHER	KY	PASSPORT
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	080039700	OTHER	KY	BLACK LUNG

General Provider Information

NPI Number	:	1780683524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF POWELL

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	304-521-1576
Fax Number	:	304-521-1576

Provider Business Practice Location Address
First Line	:	56 ATKINSON ST
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2514
Country	:	US
Telephone Number	:	606-663-0376
Fax Number	:	304-521-1576

Authorized Official
Title or Position	:	EMS DIRECTOR
Name	:	ARTHUR ALLEN ASHLEY
Credential	:
Telephone Number	:	606-663-0376

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	08/07/2025

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Directions to “COUNTY OF POWELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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