1053513846 NPI number — FRANKLIN COUNTY TRANSPORTATION COUNCIL, INC

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 1053513846 NPI number — FRANKLIN COUNTY TRANSPORTATION COUNCIL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN COUNTY TRANSPORTATION COUNCIL, INC
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:
Provider Other Organization Name Type Code:
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:
1053513846
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
519B E INDEPENDENCE DR
Provider Second Line Business Mailing Address:
PO BOX 19
Provider Business Mailing Address City Name:
UNION
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63084-3130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-583-1125
Provider Business Mailing Address Fax Number:
636-583-4538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
519B E INDEPENDENCE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNION
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63084-3130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-583-1125
Provider Business Practice Location Address Fax Number:
636-583-4538
Provider Enumeration Date:
06/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STANLEY
Authorized Official First Name:
PAT
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PROJECT MANAGER
Authorized Official Telephone Number:
636-583-1125

Provider Taxonomy Codes

  • Taxonomy code: 347B00000X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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