Fivco Add Cdo As Fiscal Agent

LBN: Fivco Add Cdo As Fiscal Agent
Fivco Add Cdo As Fiscal Agent is an health care organization with primary practice located at 1212 Bath Ave. Suite 650, Ashland KY 41101. The organization recently has only one registered license in Agencies / Supports Brokerage, which is considered as the primary health care specialty. Fivco Add Cdo As Fiscal Agent can be contacted via phone (606) 929-1366, or through Mcdavid, Sherry via phone (606) 929-1366.

Contact Information

Primary practice address
1212 Bath Ave. Suite 650 Ashland KY 41101
Phone: (606) 929-1366
Fax: (606) 327-0023
Website:
Map and Directions
Authorized official contact:
Name: Mcdavid, Sherry
Phone: (606) 929-1366

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1275745176
LBN Legal business name Fivco Add Cdo As Fiscal Agent
DBA Doing business as
Authorized official Mcdavid, Sherry
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275745176 NPPES
Kentucky MEDICAID 33001447
Kentucky MEDICAID 43996107
Kentucky MEDICAID 17000811

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