Provider Demographics
NPI:1821095001
Name:HANCOCK COUNTY
Entity Type:Organization
Organization Name:HANCOCK COUNTY
Other - Org Name:HANCOCK COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-927-1310
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-0165
Mailing Address - Country:US
Mailing Address - Phone:270-298-4415
Mailing Address - Fax:270-298-4417
Practice Address - Street 1:655 HAWES BLVD
Practice Address - Street 2:
Practice Address - City:HAWESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42348-2516
Practice Address - Country:US
Practice Address - Phone:270-927-1310
Practice Address - Fax:270-927-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-04
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10413416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
406590768OtherRR MEDICARE
KY55046031Medicaid
406590768OtherRR MEDICARE