Provider Demographics
NPI:1568492932
Name:CITY OF LEXINGTON
Entity Type:Organization
Organization Name:CITY OF LEXINGTON
Other - Org Name:LEXINGTON EMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:GHISALBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-259-4633
Mailing Address - Street 1:533 S BUSINESS HIGHWAY 13
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:64067-1437
Mailing Address - Country:US
Mailing Address - Phone:660-259-4550
Mailing Address - Fax:660-259-4574
Practice Address - Street 1:535 S. BUSINESS HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MO
Practice Address - Zip Code:64067
Practice Address - Country:US
Practice Address - Phone:660-259-4550
Practice Address - Fax:660-259-4574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1070263416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO9004646Medicare PIN