Provider Demographics
NPI:1780756312
Name:CITY OF LOUISVILLE
Entity type:Organization
Organization Name:CITY OF LOUISVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TAX ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARNTZ-TOURNOUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-875-3434
Mailing Address - Street 1:215 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-1665
Mailing Address - Country:US
Mailing Address - Phone:330-875-3434
Mailing Address - Fax:330-875-9091
Practice Address - Street 1:215 S MILL ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-1665
Practice Address - Country:US
Practice Address - Phone:330-875-3321
Practice Address - Fax:330-875-9091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF LOUISVILLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-15
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0316400341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020316400OtherBOARD OF PHARMACY
OH0980550Medicaid
OH000000155992OtherBCBS
OH=========00OtherBWC
OH=========001OtherMEDMUTUAL