CLINTON-HICKMAN COUNTY AMBULANCE SERVICE INC NPI 1902954118

NPI Information

NPI: 1902954118
Provider Name: CLINTON-HICKMAN COUNTY AMBULANCE SERVICE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 18D0648624

Address:
324 JAMES H PHILLIPS DR
CLINTON, KY
ZIP 42031
Phone: (270) 653-4620
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CLINTON-HICKMAN COUNTY AMBULANCE SERVICE INC is a land transport ambulance in Clinton, KY. CLINTON-HICKMAN COUNTY AMBULANCE SERVICE INC NPI is 1902954118. The provider is registered as an organization entity type.

The provider's business location address is:

324 JAMES H PHILLIPS DR
CLINTON, KY
ZIP 42031-083
Phone: (270) 653-4620
Fax: (270) 653-4585

The provider's authorized official is Paula L Boaz .
The authorized official title is Director and has the following contact phone number (270) 254-0100.

The CLIA number assigned to this NPI record is 18D0648624 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2007 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		1010	KENTUCKY	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q059657	MEDICAID	TENNESSEE
2	55053037	MEDICAID	KENTUCKY
3	7100648530	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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