Provider Demographics
NPI:1861490765
Name:BOYLE COUNTY FISCAL COURT
Entity Type:Organization
Organization Name:BOYLE COUNTY FISCAL COURT
Other - Org Name:BOYLE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-319-3927
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:1856 S DANVILLE BYP
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-8401
Practice Address - Country:US
Practice Address - Phone:859-238-1133
Practice Address - Fax:859-238-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1540341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2435310000OtherPASSPORT ADVANTAGE
KY1077344OtherPASSPORT
KY000000011569OtherCHA
KY000000070442OtherANTHEM
KY083357200OtherBLACK LUNG
KY56003544Medicaid
KY55011035Medicaid
KY590008585OtherRAILROAD MEDICARE
KY2435310000OtherPASSPORT ADVANTAGE
KY=========OtherTRICARE