1679643167 NPI number — MEADE COUNTY FISCAL COURT

Table of content: (NPI 1679643167)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679643167 NPI number — MEADE COUNTY FISCAL COURT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEADE COUNTY FISCAL COURT
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:
MEADE COUNTY AMBULANCE
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:
1679643167
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 589
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISONVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42431-5011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-824-8123
Provider Business Mailing Address Fax Number:
270-824-8140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
999 ARMORY PLACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRANDENBURG
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-422-4023
Provider Business Practice Location Address Fax Number:
270-422-4083
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WALTERS
Authorized Official First Name:
CORISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
270-422-4023

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1091 , 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: 56004336 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000070437 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 627327300 . This is a "DOL - FECA/ BLACK LUNCH/ ENERGY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000070437 . This is a "BCBS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55082028 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: N724825 . This is a "WELLCARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1073726 . This is a "PASSPORT" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "CARESOURCE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 406590425 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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