Provider Demographics
NPI:1831196013
Name:COUNTY OF BALLARD FISCAL COURT
Entity type:Organization
Organization Name:COUNTY OF BALLARD FISCAL COURT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BECKY
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-665-5000
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:KY
Mailing Address - Zip Code:42087-0276
Mailing Address - Country:US
Mailing Address - Phone:270-665-5000
Mailing Address - Fax:
Practice Address - Street 1:150 BROADWAY
Practice Address - Street 2:
Practice Address - City:LA CENTER
Practice Address - State:KY
Practice Address - Zip Code:42056-9998
Practice Address - Country:US
Practice Address - Phone:270-665-9328
Practice Address - Fax:270-665-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-04
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY15013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000232102OtherANTHEM BLUE CROSS
KY56003478Medicaid
406590892OtherRR MEDICARE
605804900OtherUS DEPARTMENT OF LABOR
KY623460OtherWELLCARE - MEDICAID MCO
KY55004014Medicaid
IL=========001Medicaid
IL=========001Medicaid