Provider Demographics
NPI:1730181033
Name:JESSAMINE COUNTY FISCAL COURT
Entity type:Organization
Organization Name:JESSAMINE COUNTY FISCAL COURT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODPASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-887-2987
Mailing Address - Street 1:101 S 2ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-1554
Mailing Address - Country:US
Mailing Address - Phone:598-872-9878
Mailing Address - Fax:859-881-0940
Practice Address - Street 1:101 S 2ND ST
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-1554
Practice Address - Country:US
Practice Address - Phone:859-887-2987
Practice Address - Fax:859-881-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY590007628OtherRAILROAD MEDICARE
KY55057020Medicaid
KY560004161Medicaid
KY000000070456OtherANTHEM
KY000000070456OtherANTHEM