1346240165 NPI number — WALTON FIRE PROTECTION DISTRICT

Table of content: (NPI 1346240165)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346240165 NPI number — WALTON FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WALTON FIRE PROTECTION DISTRICT
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:
1346240165
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:
513-772-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12600 TOWN CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-485-7439
Provider Business Practice Location Address Fax Number:
859-485-4161
Provider Enumeration Date:
07/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VEST
Authorized Official First Name:
JOEY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASST. CHIEF
Authorized Official Telephone Number:
859-485-7439

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1123 , 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: 080014800 . This is a "BLACK LUNG" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000032376 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2447868000 . This is a "PASSPORT ADVANTAGE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 590009115 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000001162603 . This is a "CHA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 0125260 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50006641 . This is a "PASSPORT" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55008049 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56004880 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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