ARROW-MED AMBULANCE, INC. — NPI 1437418506 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in JACKSON, KY)

CMS-1500 Box 24J / 33a • NPI

1437418506

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

68 SHACKS LN, JACKSON, KY, 41339-7603

✓ 9-Digit EDI 837 ZIP+4 (41339-7603)

Practice Phone & Referral Fax

(606) 693-4847

Fax: (606) 693-4847

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1437418506 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2019-12-19). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1437418506` (NPI-2 Organization / Facility)
Provider / Legal Name	ARROW-MED AMBULANCE, INC.
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	68 SHACKS LN, JACKSON, KY, 41339-7603
Practice Telephone / Fax	Tel: (606) 693-4847 \| Fax: (606) 693-4847
Administrative Mailing Address	68 SHACKS LANE, JACKSON, KY, 41339
Enumeration & Last Sync	Enumerated: 2012-05-10 \| CMS Record Updated: 2012-05-10
Authorized Official	HERSHEL ARROWOOD (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

68 SHACKS LN, JACKSON, KY, 41339-7603

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Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ARROW-MED AMBULANCE, INC.)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: KY \| License: `1672` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ARROW-MED AMBULANCE, INC. (NPI #1437418506)