| Organization Name: | LYON COUNTY EMERGENCY AMBULANCE SERVICE |
| NPI Number: | 1487651543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY RILEY (CHAIRMAN) |
| Mailing Address: | 236 Commerce Street Eddyville |
| State: | KY US |
| Postal Code: | 420388294 |
| Phone Number: | 2703887167 |
| Fax Number: | 2703887588 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |