Provider Demographics
NPI:1942238068
Name:TODD COUNTY COUNTY TREASURER
Entity Type:Organization
Organization Name:TODD COUNTY COUNTY TREASURER
Other - Org Name:TODD COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:JUDGE EXEC
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GREENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-265-3277
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-0012
Mailing Address - Country:US
Mailing Address - Phone:270-824-8123
Mailing Address - Fax:270-824-8140
Practice Address - Street 1:811 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:KY
Practice Address - Zip Code:42220-0928
Practice Address - Country:US
Practice Address - Phone:270-839-2611
Practice Address - Fax:270-265-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY93089OtherMEDICAID MCO-COVENTRY
KY50009901OtherPASSPORT
KY55110035Medicaid
KY000000070445OtherANTHEM / BCBS
KY56004781Medicaid
KYXX XXX0760OtherUMWA HEALTH & RETIREMENT
590001420OtherRR MEDICARE
KY626046OtherWELLCARE - MEDICAID MCO
KY55110035Medicaid