Buffalo Trace Area Development District
Supports Brokerage in Maysville, KY. Organization (NPI-2).
NPI number1124233085
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124233085
- Entity type
- Organization (NPI-2)
- Legal business name
- Buffalo Trace Area Development District
- Organization subpart
- No
- Enumeration date
- May 14, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage | – | – | Yes |
Practice location
201 Government StSuite 300
Maysville, KY 41056-1260
Phone 606-564-6894 · Fax 606-564-0955
Mailing address
201 Government StSuite 300
Maysville, KY 41056-1260
Phone 606-564-6894 · Fax 606-564-0955
Authorized official
Caroline Clarke Ullery
Director Of Aging Services
6065646894
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