Provider Demographics
NPI:1629034350
Name:CITY OF FRANKFORT
Entity Type:Organization
Organization Name:CITY OF FRANKFORT
Other - Org Name:FRANKFORT FIRE AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:502-875-8511
Mailing Address - Street 1:PO BOX 1425
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40602
Mailing Address - Country:US
Mailing Address - Phone:502-875-8531
Mailing Address - Fax:502-875-8533
Practice Address - Street 1:300 W 2ND ST
Practice Address - Street 2:SUITE 3
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-2652
Practice Address - Country:US
Practice Address - Phone:502-875-8511
Practice Address - Fax:502-875-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY55037022Medicaid
KY000000075628OtherBLUE CROSS BLUE SHIELD
FL913178700Medicaid
MO806165007Medicaid
KY56003932Medicaid
KY2435320000OtherPASSPORT ADVANTAGE
KY1077635OtherPASSPORT HEALTH
KY4783353OtherUNITED MINE WORKERS
KY8020301Medicare ID - Type Unspecified
KY406590281Medicare ID - Type UnspecifiedRAILROAD MEDICARE