Provider Demographics
NPI:1558368621
Name:MCLEAN COUNTY TREASURER
Entity Type:Organization
Organization Name:MCLEAN COUNTY TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JUDGE EXE.
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-273-3213
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-5011
Mailing Address - Country:US
Mailing Address - Phone:270-824-8123
Mailing Address - Fax:270-824-8140
Practice Address - Street 1:200 HIGHWAY 81 N
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:KY
Practice Address - Zip Code:42327-2102
Practice Address - Country:US
Practice Address - Phone:270-273-5848
Practice Address - Fax:270-273-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000070438OtherANTHEM BLUE CROSS
080016900OtherFEDERAL BLACK LUNG PROGRAM
KY623483OtherWELLCARE, MCO MEDICAID
1401838OtherUMWA HEALTH & RETIREMENT
KY55075048Medicaid
590012794OtherRR MEDICARE
KY56004328Medicaid
TN0110783OtherBLUE CROSS BLUE SHIELD
080016900OtherFEDERAL BLACK LUNG PROGRAM
KY55075048Medicaid