BREATHITT-WOLFE EMS INC (NPI# 1104481092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104481092 |
| Entity Type | Organization |
| Organization Name | BREATHITT-WOLFE EMS INC |
| Practice Address |
3 Howell Ln Jackson KY 41339-8657 |
| Mailing Address |
Po Box 589 Madisonville KY 42431-5011 |
| Practice Telephone | 6066664444 |
| Mailing Telephone | 2708248123 |
| Mailing Fax Number | 2708248140 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | JARRED FANNIN (OWNER) |
| Authorized Official Telephone | 6065480960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Wolfe Co Elementary School Rd, Campton, KY 413016528 | 6066689111 | |
| 68 Shacks Ln, Jackson, KY 413397603 | 6065480960 |
| Street Address |
3 HOWELL LN |
| City | JACKSON |
| State | KY |
| Zip Code | 41339-8657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1336763135 | Jill Elaine Beattie Green | Occupational Therapist | 100 Ky-15, Jackson, KY 41339 | 2020-06-08 |
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1144797754 | Visionary Rehabilitation Services, LLC | Speech-Language Pathologist | 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 | 2018-11-01 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| 1508225996 | Jessica Williams | Pharmacist | 842 Highway 15 N, Jackson, KY 41339 | 2016-02-15 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1265784045 | Jonathan Charles Morris | Physical Therapist | 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 | 2012-10-04 |
| 1649539958 | Henry Price Sewell IIi IIi | Family Medicine | 170 Picnic Hill Rd, Jackson, KY 41339 | 2012-05-07 |
| Find all providers in zip 41339 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730564436 | Jackson Township First Aid Squad Inc | Ambulance | 38 E Veterans Hwy, Jackson, NJ 08527-4519 | 2015-07-23 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1437418506 | Arrow-med Ambulance, Inc. | Ambulance | 68 Shacks Ln, Jackson, KY 41339-7603 | 2012-05-10 |
| 1457627986 | Six Flags Great Adventure LLC | Ambulance | 1 Six Flags Blvd, Jackson, NJ 08527-5369 | 2012-03-29 |
| 1851601132 | County of Jackson | Ambulance | 260 Pattonsville Rd, Jackson, OH 45640-9452 | 2010-10-20 |
| 1760635700 | Life Star Healthcare LLC | Ambulance | 111 Glendale St, Jackson, TN 38301-5101 | 2008-11-03 |
| 1003947953 | County of Teton | Ambulance | 40 E Pearl Ave, Jackson, WY 83001 | 2007-03-09 |
| 1770686610 | Village of Jackson | Ambulance | W204n16722 Jackson Dr, Jackson, WI 53037-9796 | 2006-09-06 |
| 1831206713 | Jackson Emergency Transport Service, LLC | Ambulance | 210 S Kimball Ave, Jackson, AL 36545-2726 | 2006-08-24 |
| 1164786257 | Jackson-madison County General Hospital | Ambulance | 620 Skyline Dr, Jackson, TN 38301-3923 | 2012-07-03 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on BREATHITT-WOLFE EMS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.