1497754253 NPI number — CITY OF FORT THOMAS OFFICE OF TREASURER

Table of content: (NPI 1497754253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497754253 NPI number — CITY OF FORT THOMAS OFFICE OF TREASURER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF FORT THOMAS OFFICE OF TREASURER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FORT THOMAS FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497754253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 392907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-962-1484
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 NORTH FORT THOMAS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT THOMAS
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-441-8393
Provider Business Practice Location Address Fax Number:
859-441-6796
Provider Enumeration Date:
07/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
AMON
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
859-441-8393

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  1126 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 56007461 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590011547 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000032055 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2520945 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55019129 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: C20441 . This is a "CHOICE CARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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