RUSSELL COUNTY AMBULANCE SERVICE (NPI# 1619145844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619145844 |
| Entity Type | Organization |
| Organization Name | RUSSELL COUNTY AMBULANCE SERVICE |
| Practice Address |
108 Ferco Way Jamestown KY 42629-2438 |
| Practice Telephone | 2703436464 |
| Practice Fax Number | 2703436462 |
| Mailing Telephone | 2703436464 |
| Mailing Fax Number | 2703436462 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | MR. MARK ANTHONY COOTS (DIRECTOR) |
| Authorized Official Telephone | 2703431440 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
KY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 56005283 | 05 | |
| KY | 55104038 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RUSSELL COUNTY AMBULANCE SERVICE INC. | 129 West Main St., Po Box 2034, Lebannon, Virginia 24266 |
| Street Address |
108 FERCO WAY |
| City | JAMESTOWN |
| State | KY |
| Zip Code | 42629-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548244866 | Russell Co Ambulance Service | Ambulance | 108 Ferco Way, Jamestown, KY 42629-2438 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400124 | Vickie Robertson | Registered Nurse | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-02-26 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1609064831 | Julene Hopper | Counselor | 119 Hereford Curve Road, Jamestown, KY 42629 | 2007-10-12 |
| 1114059375 | Lisa Ann Helm | Speech-Language Pathologist | 70 Forest Hill Drive, Jamestown, KY 42629 | 2007-03-12 |
| 1235268723 | Jamestown Valu-rite Pharmacy | Durable Medical Equipment & Medical Supplies | 1417 North Main Street, Suite A, Jamestown, KY 42629 | 2007-03-02 |
| 1972642361 | Russell County Board of Education | Local Education Agency (LEA) | 404 S Main Street, Jamestown, KY 42629 | 2007-02-05 |
| 1508942749 | Melanie K Loy Flanagan | Dentist | 43 Fruit of The Loom Drive, Jamestown, KY 42629 | 2006-10-31 |
| 1891881413 | Jeffrey Louis Warner | Pharmacist | 1417 N. Main Street, Suite A, Jamestown, KY 42629 | 2006-10-04 |
| Find all providers in zip 42629 | ||||
| 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 |
|---|---|---|---|---|
| 1952500506 | Jamestown Volunteer Firemens Association, Inc. | Ambulance | 208 Depot St., Jamestown, PA 16134 | 2007-07-13 |
| 1710047162 | Ringdahl, Inc. | Ambulance | 1002 3rd Ave Se, Jamestown, ND 58401-5507 | 2006-12-08 |
| 1376523928 | Town of Jamestown | Ambulance | 50 Narragansett Ave, Jamestown, RI 02835-1167 | 2006-01-19 |
| 1548244866 | Russell Co Ambulance Service | Ambulance | 108 Ferco Way, Jamestown, KY 42629-2438 | 2005-11-30 |
| 1871538728 | Fentress County | Ambulance | 310 S Main St, Jamestown, TN 38556-3845 | 2006-06-17 |
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| 1740823590 | Mercy Ambulance of Evansville Inc | Ambulance | 3068 Highway 160 S, Hindman, KY 41822-9056 | 2019-10-24 |
| 1053954800 | Mercy Ambulance of Evansville Inc | Ambulance | 299 Island Creek Rd, Pikeville, KY 41501-9341 | 2019-10-24 |
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| 1598324410 | Watts-caney Volunteer Fire Department, Inc | Ambulance | 11455 Highway 15 South, Lost Creek, KY 41348 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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| 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.