1558297150 NPI number — KNOTT COUNTY AMBULANCE SERVICE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558297150 NPI number — KNOTT COUNTY AMBULANCE SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KNOTT COUNTY AMBULANCE SERVICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558297150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 900
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINDMAN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41822-0900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-785-5592
Provider Business Mailing Address Fax Number:
606-785-0966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3068 HIGHWAY 160 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRINKLEY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41822-9056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-785-0260
Provider Business Practice Location Address Fax Number:
606-785-0966
Provider Enumeration Date:
06/22/2026

Additional Information

Authorized Official

Authorized Official Last Name:
DOBSON
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
KNOTT COUNTY JUDGE EXECUTIVE
Authorized Official Telephone Number:
606-785-5592

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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