Provider Demographics
NPI:1437418506
Name:ARROW-MED AMBULANCE, INC.
Entity Type:Organization
Organization Name:ARROW-MED AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERSHEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ARROWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-693-4847
Mailing Address - Street 1:68 SHACKS LANE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339
Mailing Address - Country:US
Mailing Address - Phone:606-693-4847
Mailing Address - Fax:606-693-4847
Practice Address - Street 1:68 SHACKS LN
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-7603
Practice Address - Country:US
Practice Address - Phone:606-693-4847
Practice Address - Fax:606-693-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport