MEDICARE: CITY OF LUDLOW

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	341600000X	Ambulance
2	341600000X	Ambulance	1495	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00264462	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	50004670	OTHER	KY	PASSPORT HEALTH
3	000000341011	OTHER	KY	ANTHEM BCBS

General Provider Information

NPI Number	:	1447258421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LUDLOW

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 OAK STREET
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1415
Country	:	US
Telephone Number	:	859-581-8600
Fax Number	:	859-581-8602

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL STEWARD
Credential	:
Telephone Number	:	859-992-5812

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	05/24/2024

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Directions to “CITY OF LUDLOW ” Practice Location

Language	Start Address	Practice Location

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