Basic Information
| Provider Information | |||||||||
| NPI: | 1346591831 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WEBSTER COUNTY AMBULANCE DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2690 US HIGHWAY 41A S | ||||||||
| Address2: | |||||||||
| City: | DIXON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424099450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2706397026 | ||||||||
| FaxNumber: | 2707448642 | ||||||||
| Practice Location | |||||||||
| Address1: | 2690 US HIGHWAY 41A S | ||||||||
| Address2: | |||||||||
| City: | DIXON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424099450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2706395042 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2012 | ||||||||
| LastUpdateDate: | 01/12/2022 | ||||||||
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| AuthorizedOfficialLastName: | LUCK | ||||||||
| AuthorizedOfficialFirstName: | JONATHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EMS DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2708215301 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.