Provider Demographics
NPI:1578157855
Name:LEXINGTON BLUEGRASS AIRPORT
Entity Type:Organization
Organization Name:LEXINGTON BLUEGRASS AIRPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-425-3101
Mailing Address - Street 1:4000 TERMINAL DR STE 206
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40510-9645
Mailing Address - Country:US
Mailing Address - Phone:859-425-3100
Mailing Address - Fax:
Practice Address - Street 1:4101 AVIATOR RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40510-9679
Practice Address - Country:US
Practice Address - Phone:859-425-3124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance