Provider Demographics
NPI:1427015890
Name:HART COUNTY AMBULANCE SERVICE TAXING DISTRICT
Entity type:Organization
Organization Name:HART COUNTY AMBULANCE SERVICE TAXING DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-524-7272
Mailing Address - Street 1:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:MUNFORDVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42765
Mailing Address - Country:US
Mailing Address - Phone:270-524-7272
Mailing Address - Fax:270-524-3891
Practice Address - Street 1:20 AMBULANCE DRIVE
Practice Address - Street 2:
Practice Address - City:MUNFORDVILLE
Practice Address - State:KY
Practice Address - Zip Code:42765
Practice Address - Country:US
Practice Address - Phone:270-524-7272
Practice Address - Fax:270-524-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100028680AMedicaid
TN4581662Medicaid
KY55050025Medicaid
GA665926994AMedicaid
TX075382402Medicaid
KY56004047Medicaid
KY000000070043OtherBLUE CROSS BLUE SHIELD
KY1069721OtherPASSPORT HEALTH
KY2434804000OtherPASSPORT ADVANTAGE
KY56004047Medicaid
TN4581662Medicaid