MEDICARE: CITY OF WINCHESTER 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	1297	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00022806	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	080036900	OTHER	KY	DOL - FECA / BL/ ENERGY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750381539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WINCHESTER OFFICE OF TREASURER

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	304-521-1576
Fax Number	:	304-521-1576

Provider Business Practice Location Address
First Line	:	44 N MAPLE ST.
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1955
Country	:	US
Telephone Number	:	859-744-1587
Fax Number	:	859-737-9085

Authorized Official
Title or Position	:	ASSISTANT CHIEF OF EMS
Name	:	MR. JACOB BRANDON ROBINSON
Credential	:
Telephone Number	:	859-404-2345

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	04/02/2026

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

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