1043399108 NPI number — BULLITT COUNTY FISCAL COURT

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 1043399108 NPI number — BULLITT COUNTY FISCAL COURT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BULLITT 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:
Provider Other Organization Name Type Code:
6
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:
1043399108
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6538
Provider Second Line Business Mailing Address:
238 SALT WELL DRIVE
Provider Business Mailing Address City Name:
SHEPHERDSVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40165-6538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-955-7580
Provider Business Mailing Address Fax Number:
502-543-7244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
238 SALT WELL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHEPHERDSVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40165-8288
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-955-7580
Provider Business Practice Location Address Fax Number:
502-543-7244
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARDIN
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
502-543-7404

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  1613 , 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: 590011085 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55015044 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56030489 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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