Provider Demographics
NPI:1497754253
Name:CITY OF FORT THOMAS OFFICE OF TREASURER
Entity Type:Organization
Organization Name:CITY OF FORT THOMAS OFFICE OF TREASURER
Other - Org Name:FORT THOMAS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-441-8393
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:130 NORTH FORT THOMAS AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075
Practice Address - Country:US
Practice Address - Phone:859-441-8393
Practice Address - Fax:859-441-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1126341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY56007461Medicaid
KY590011547OtherRAILROAD MEDICARE
KY000000032055OtherANTHEM
OH2520945Medicaid
KY55019129Medicaid
KYC20441OtherCHOICE CARE
KY56007461Medicaid