Provider Demographics
NPI:1558360115
Name:CITY OF NEWPORT OFFICE OF TREASURER
Entity Type:Organization
Organization Name:CITY OF NEWPORT OFFICE OF TREASURER
Other - Org Name:NEWPORT FIRE DEPARTMENT AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-655-6355
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:513-772-4464
Practice Address - Street 1:998 MONMOUTH STREET
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2115
Practice Address - Country:US
Practice Address - Phone:859-292-3615
Practice Address - Fax:859-292-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000070467OtherANTHEM BC AND BS
KY590010245OtherRAILROAD MEDICARE
KY083255000OtherBLACK LUNG
OH2030779Medicaid
KY55019111Medicaid
IN200338220AMedicaid
KY8032601Medicare PIN