1679530497 NPI number — REGIONAL TRANSPORT

Table of content: (NPI 1679530497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679530497 NPI number — REGIONAL TRANSPORT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGIONAL TRANSPORT
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:
1679530497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 164
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-759-5993
Provider Business Mailing Address Fax Number:
606-759-8426

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1910 OLD MAIN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYSVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-759-5993
Provider Business Practice Location Address Fax Number:
606-759-8426
Provider Enumeration Date:
04/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCKIBBEN
Authorized Official First Name:
JILL
Authorized Official Middle Name:
P
Authorized Official Title or Position:
CO-OWNER ASST DIRECTOR
Authorized Official Telephone Number:
606-759-5993

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1645 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416L0300X , with the licence number: 3003 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000224891 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2445746000 . This is a "PASSPORT ADVANTAGE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2323275 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3810004113 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55000608 . This is a "MEDICAID UNISYS 55" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 56021447 . This is a "MEDICAID UNISYS 56" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 8050401 . This is a "FEDERAL MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1010495910001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50004381 . This is a "PASSPORT HEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 800434 . This is a "BLACK LUNG" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com