Provider Demographics
NPI:1598722076
Name:CARROLL CO FISCAL COURT
Entity Type:Organization
Organization Name:CARROLL CO FISCAL COURT
Other - Org Name:CARROLL COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:JUDGE EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-732-7018
Mailing Address - Street 1:440 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:KY
Mailing Address - Zip Code:41008
Mailing Address - Country:US
Mailing Address - Phone:502-732-7019
Mailing Address - Fax:502-732-7124
Practice Address - Street 1:829 POLK ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:KY
Practice Address - Zip Code:41008
Practice Address - Country:US
Practice Address - Phone:502-732-7018
Practice Address - Fax:502-732-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY11323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000070439OtherBLUE CROSS BLUE SHIELD
KY2435212000OtherPASSPORT ADVANTAGE
KY56003650Medicaid
KY590015052OtherRAILROAD MEDICARE
KY55000988Medicaid
KY2435212000OtherPASSPORT ADVANTAGE
KY56003650Medicaid
KY000000070439OtherBLUE CROSS BLUE SHIELD
KY590015052OtherRAILROAD MEDICARE