1558360115 NPI number — CITY OF NEWPORT OFFICE OF TREASURER

Table of content: (NPI 1558360115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558360115 NPI number — CITY OF NEWPORT OFFICE OF TREASURER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF NEWPORT 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:
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:
1558360115
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2024
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:
998 MONMOUTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41071-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-292-3615
Provider Business Practice Location Address Fax Number:
859-292-3663
Provider Enumeration Date:
07/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
KUNTZ
Authorized Official First Name:
LEONARD
Authorized Official Middle Name:
Authorized Official Title or Position:
FISCAL OFFICER
Authorized Official Telephone Number:
859-292-3616

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1309 , 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: 083255000 . This is a "BLACK LUNG" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2030779 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55019111 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590010245 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000070467 . This is a "ANTHEM BC AND BS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200338220A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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