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Contact Information

HARDIN COUNTY & HARDIN COUNTY JAIL
170 NORTH PROVIDENT WAY
ELIZABETHTOWN, KY42701
 Phone: 270-769-3014
 Fax: 270-769-0387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for HARDIN COUNTY & HARDIN COUNTY JAIL

NPI Number 1104887975
LBN Legal business name HARDIN COUNTY & HARDIN COUNTY JAIL
Authorized official MARK PETERSON - (EMS DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2006
Last updated 06/11/2024 - More than a year ago
Identifiers
KY License # 1082
KY Medicaid 55047039
KY Medicaid 56004039
KY Other 000000070443 ANTHEM
KY Other 2434483000 PASSPORT ADVANTAGE
KY Other 1065175 PASSPORT HEALTH
KY Other 590087617 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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