1750381539 NPI number — CITY OF WINCHESTER OFFICE OF TREASURER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750381539 NPI number — CITY OF WINCHESTER OFFICE OF TREASURER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF WINCHESTER 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:
CITY OF WINCHESTER FIRE/EMS
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:
1750381539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PADUCAH
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42002-9150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-744-8413
Provider Business Mailing Address Fax Number:
270-744-8642

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 N MAPLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINCHESTER
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40391-1955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-744-1587
Provider Business Practice Location Address Fax Number:
859-737-9085
Provider Enumeration Date:
07/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BELCHER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
MATTHEW
Authorized Official Title or Position:
CITY MANAGER
Authorized Official Telephone Number:
859-744-1598

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1297 , 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: 56004930 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 080036900 . This is a "DOL - FECA / BL/ ENERGY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55001069 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00022806 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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