Provider Demographics
NPI:1699773515
Name:BATH COUNTY AMBULANCE DISTRICT
Entity type:Organization
Organization Name:BATH COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-674-8158
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:304-521-1576
Mailing Address - Fax:304-521-1576
Practice Address - Street 1:884 E HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:OWINGSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40360
Practice Address - Country:US
Practice Address - Phone:606-674-8158
Practice Address - Fax:606-674-2768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200338400AMedicaid
KY000000070164OtherBCBS
KY590014359OtherRAILROAD MEDICARE
KY000000070164OtherANTHEM
KY089022300OtherBLACK LUNG
KY=========OtherTRICARE
KY000000011060OtherCHA
KY=========OtherUMWA
OH2279869Medicaid
KY55001598Medicaid
KY56031396Medicaid
OH=========OtherOH WORKERS COMP