1629034350 NPI number — CITY OF FRANKFORT

Table of content: (NPI 1629034350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629034350 NPI number — CITY OF FRANKFORT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF FRANKFORT
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:
1629034350
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 W 2ND ST STE 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKFORT
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40601-2652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-875-8531
Provider Business Mailing Address Fax Number:
502-875-8533

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 W 2ND ST
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
FRANKFORT
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40601-2652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-875-8511
Provider Business Practice Location Address Fax Number:
502-875-8533
Provider Enumeration Date:
04/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEBASTIAN
Authorized Official First Name:
JOE
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
502-875-8511

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1262 , 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: 000000075628 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 56003932 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 913178700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2435320000 . This is a "PASSPORT ADVANTAGE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 4783353 . This is a "UNITED MINE WORKERS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 806165007 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1077635 . This is a "PASSPORT HEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55037022 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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