Provider Demographics
NPI:1912907858
Name:UNION EMERGENCY SERVICES ALLIANCE
Entity Type:Organization
Organization Name:UNION EMERGENCY SERVICES ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-384-3342
Mailing Address - Street 1:PO BOX 1477
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41022-1477
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:9611 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-8810
Practice Address - Country:US
Practice Address - Phone:859-384-3342
Practice Address - Fax:859-384-5261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611214097OtherTRICARE
KY000000070280OtherANTHEM
OH61121409700OtherOH WORKERS COMP
KY55008031Medicaid
KY590007940OtherRR MEDICARE
KY8037601Medicare PIN