City of Raytown

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

095150 Issued in MO

Legal business name

CITY OF RAYTOWN

Practice address

10020 E 66TH Ter
Raytown, MO 64133-5251

Phone

(816) 737-6030

NPI assigned

Nov 9, 2006

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeremy Thomas Willmoth

Title

Director of Finance

Phone

(816) 737-6084

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Raytown Emergency Rescue Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1063582823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 876234",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641876234",
            "telephone_number": "937-424-3717",
            "fax_number": "937-291-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 E 66TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335251",
            "telephone_number": "816-737-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RAYTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLMOTH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "816-737-6084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "095150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590077790",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800551004",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "12344017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raytown Emergency Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Uchenna Charles Chira, DC
• Tina C Christian, LPC, NCC
• Christine L Moore DO PC
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• Robin Morgan Clark, M.S., CCC-SLP
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• Sara Alison Clum, PMHNP-BC
• Kristin Anne Coblentz Swan, LCSW
• Cole Vision Corporation

• Land Ambulance in Raytown, MO
• Providers in Raytown, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.