Provider Demographics
NPI:1043399108
Name:BULLITT COUNTY FISCAL COURT
Entity Type:Organization
Organization Name:BULLITT COUNTY FISCAL COURT
Other - Org Name:BULLITT CO. EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-543-7404
Mailing Address - Street 1:PO BOX 6538
Mailing Address - Street 2:238 SALT WELL DRIVE
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-6538
Mailing Address - Country:US
Mailing Address - Phone:502-955-7580
Mailing Address - Fax:502-543-7244
Practice Address - Street 1:238 SALT WELL RD
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-8288
Practice Address - Country:US
Practice Address - Phone:502-955-7580
Practice Address - Fax:502-543-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1613341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY590011085OtherRAILROAD MEDICARE
KY55015044Medicaid
KY56030489Medicaid
KY590011085OtherRAILROAD MEDICARE