MEDICARE: CITY OF NEWPORT OFFICE OF TREASURER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	1309	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	590010245	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	083255000	OTHER	KY	BLACK LUNG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000070467	OTHER	KY	ANTHEM BC AND BS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558360115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF NEWPORT OFFICE OF TREASURER

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	998 MONMOUTH STREET
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41071-2115
Country	:	US
Telephone Number	:	859-292-3615
Fax Number	:	859-292-3663

Authorized Official
Title or Position	:	FISCAL OFFICER
Name	:	LEONARD KUNTZ
Credential	:
Telephone Number	:	859-292-3616

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/20/2024

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Directions to “CITY OF NEWPORT OFFICE OF TREASURER ” Practice Location

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