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NPI Code Detail

MEDICARE: TRANSCARE OF KENTUCKY

MEDICARE: TRANSCARE OF KENTUCKY
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
13416L0300XLand Ambulance1487KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000001164510OTHERKYCHA
2000000066192OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881694818
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSCARE OF KENTUCKY
Provider Business Mailing Address
First Line : 836 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1407
Country : US
Telephone Number : 800-676-4785
Fax Number : 304-522-4222
Provider Business Practice Location Address
First Line : 100 KIMBERLY LN
Second Line :
City : WILLIAMSTOWN
State : KY
Zip : 41097-9458
Country : US
Telephone Number : 513-209-0206
Fax Number :
Authorized Official
Title or Position : CHIEF
Name : SAM GRIPPA
Credential :
Telephone Number : 513-209-0206
Provider Enumeration Date : 08/01/2005
Last Update Date : 04/20/2008

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Directions to “TRANSCARE OF KENTUCKY ” Practice Location

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