Buffalo Trace Area Development District

Key facts

NPI

1124233085

Entity type

Organization (NPI type 2)

Primary specialty

Supports Brokerage Agency 251X00000X

Legal business name

BUFFALO TRACE AREA DEVELOPMENT DISTRICT

Practice address

201 Government St
Suite 300
Maysville, KY 41056-1260

Phone

(606) 564-6894

Fax

(606) 564-0955

NPI assigned

May 14, 2007

Organization subpart

No

Authorized official

Name

Mrs. Caroline Clarke Ullery

Title

Director of Aging Services

Phone

(606) 564-6894

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

• Buffalo Trace Area Development District Supports Brokerage Agency · Maysville, KY · NPI 1033324991
  NPD tax ID
• Buffalo Trace Area Development District Supports Brokerage Agency · Maysville, KY · NPI 1972646073
  NPD tax ID

National Provider Directory

Tax ID family

Buffalo Trace Area Development District (3 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124233085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT ST",
            "address_2": "SUITE 300",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561260",
            "telephone_number": "606-564-6894",
            "fax_number": "606-564-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT ST",
            "address_2": "SUITE 300",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561260",
            "telephone_number": "606-564-6894",
            "fax_number": "606-564-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO TRACE AREA DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULLERY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "DIRECTOR OF AGING SERVICES",
        "authorized_official_telephone_number": "606-564-6894",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700079500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

• Michael Keith Browning, APRN-CNP
• Jessica Grace Bryant, DMD
• Matthew Lloyd Buchanan, DMD
• Leon D. C. Budrie, MD
• Buffalo Trace Area Development District
• Buffalo Trace Area Development District
• Buffalo Trace Childrens Advocacy Center
• Buffalo Trace Ear, Nose & Throat Center
• Buffalo Trace Gastroenterology PLLC
• April Burke

All providers in Maysville, KY · Supports Brokerage Agency in Kentucky