Provider Demographics
NPI:1629075809
Name:MURRAY CALLOWAY COUNTY EMERGENCY
Entity type:Organization
Organization Name:MURRAY CALLOWAY COUNTY EMERGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-762-1750
Mailing Address - Street 1:207 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2511
Mailing Address - Country:US
Mailing Address - Phone:270-762-1750
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:207 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2511
Practice Address - Country:US
Practice Address - Phone:270-762-1750
Practice Address - Fax:270-744-8642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-04
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
610999800OtherDEPARTMENT OF LABOR
KY55001358Medicaid
KY56029465Medicaid
LA1591645Medicaid
KY000000361285OtherANTHEM BLUE CROSS
KY000000361285OtherANTHEM BLUE CROSS
KY000000361285OtherANTHEM BLUE CROSS
LA1591645Medicaid