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NPI Code Detail

MEDICARE: MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,

MEDICARE: MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,
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
1341600000XAmbulance1365KY
23416L0300XLand Ambulance

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2590011709OTHERKYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000070364OTHERKYANTHEM BCBS

General Provider Information

NPI Number : 1982602306
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,
Provider Business Mailing Address
First Line : 130 COMMERCIAL DR
Second Line :
City : HARRODSBURG
State : KY
Zip : 40330-1084
Country : US
Telephone Number : 859-734-4486
Fax Number : 859-734-4484
Provider Business Practice Location Address
First Line : 130 COMMERCIAL DR
Second Line :
City : HARRODSBURG
State : KY
Zip : 40330-1084
Country : US
Telephone Number : 859-734-4486
Fax Number : 859-734-4484
Authorized Official
Title or Position : DIRECTOR
Name : PAUL W PARKS
Credential :
Telephone Number : 859-734-4486
Provider Enumeration Date : 07/09/2005
Last Update Date : 09/08/2021

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Directions to “MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC, ” Practice Location

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