Provider Demographics
NPI:1154320497
Name:CITY OF TAYLOR MILL
Entity Type:Organization
Organization Name:CITY OF TAYLOR MILL
Other - Org Name:CITY OF TAYLOR MILL FIRE/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-581-6565
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:5231 TAYLOR MILL RD
Practice Address - Street 2:
Practice Address - City:TAYLOR MILL
Practice Address - State:KY
Practice Address - Zip Code:41015-2127
Practice Address - Country:US
Practice Address - Phone:859-581-6565
Practice Address - Fax:859-581-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY56007214Medicaid
KY000000032353OtherANTHEM
KY55059158Medicaid
KY590011849OtherRAILROAD MEDICARE
OH=========00OtherOH WORKERS COMP
KY000000032353OtherANTHEM
KY55059158Medicaid
OH=========00OtherOH WORKERS COMP