MEDICARE: MARION COUNTY COUNTY 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	1470	KY

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	2434446000	OTHER	KY	PASSPORT ADVANTAGE
3	000000070452	OTHER	KY	ANTHEM
4	1064466	OTHER	KY	PASSPORT
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720086721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION COUNTY COUNTY TREASURER

Provider Business Mailing Address
First Line	:	436 W WALNUT ST
Second Line	:
City	:	LEBANON
State	:	KY
Zip	:	40033-1347
Country	:	US
Telephone Number	:	270-692-6666
Fax Number	:	270-692-2941

Provider Business Practice Location Address
First Line	:	436 W WALNUT ST
Second Line	:
City	:	LEBANON
State	:	KY
Zip	:	40033-1347
Country	:	US
Telephone Number	:	270-692-6666
Fax Number	:	270-692-2941

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JIM THOMAS
Credential	:
Telephone Number	:	270-692-6666

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/06/2025

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Directions to “MARION COUNTY COUNTY TREASURER ” Practice Location

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