Provider Demographics
NPI:1427007590
Name:ROCKCASTLE COUNTY AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:ROCKCASTLE COUNTY AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-256-3575
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-5011
Mailing Address - Country:US
Mailing Address - Phone:270-824-8123
Mailing Address - Fax:270-824-8140
Practice Address - Street 1:285 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456-2706
Practice Address - Country:US
Practice Address - Phone:606-256-3575
Practice Address - Fax:606-256-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1298341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000077765OtherANTHEM BLUE CROSS
KY55102024Medicaid
KY56004716Medicaid
0854840OtherUMWA
590587009OtherRAILROAD MEDICARE
862722OtherBLACK LUNG