Provider Demographics
NPI:1619918984
Name:TRIMBLE COUNTY FISCAL COURT
Entity Type:Organization
Organization Name:TRIMBLE COUNTY FISCAL COURT
Other - Org Name:TRIMBLE CO EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TRIMBLE JUDGE EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-255-7196
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40006
Mailing Address - Country:US
Mailing Address - Phone:502-255-0062
Mailing Address - Fax:502-255-0063
Practice Address - Street 1:4832 HWY 421 N
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:KY
Practice Address - Zip Code:40006
Practice Address - Country:US
Practice Address - Phone:502-255-0062
Practice Address - Fax:502-255-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY55000541Medicaid
KY2439746000OtherPASSPORT ADVANTAGE
KY1163332OtherPASSPORT HEALTH
KS000000261201OtherBLUE CROSS BLUE SHIELD
KY56027279Medicaid
KY56027279Medicaid