Provider Demographics
NPI:1003845751
Name:WOODFORD COUNTY
Entity Type:Organization
Organization Name:WOODFORD COUNTY
Other - Org Name:WOODFORD CO AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FREEMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-873-8161
Mailing Address - Street 1:86 BIG SINK RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1556
Mailing Address - Country:US
Mailing Address - Phone:859-873-8161
Mailing Address - Fax:859-873-8057
Practice Address - Street 1:86 BIG SINK RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383
Practice Address - Country:US
Practice Address - Phone:859-873-8161
Practice Address - Fax:859-873-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2434752000OtherPASSPORT ADVANTAGE
KY56004948OtherMEDICAID UNISYS 56
KY0721379OtherUNITED MINE WORKERS
KY000000070461OtherBLUE CROSS BLUE SHIELD
KY1069329OtherPASSPORT HEALTH
KY8020101OtherFEDERAL MEDICARE
KY55120018OtherMEDICAID UNISYS 55
KY590012372OtherRAILROAD MEDICARE
KY590012372OtherRAILROAD MEDICARE