Organization Active NPI

Kearney Fire & Rescue Protection District

  • Land Ambulance
  • Kearney, MO
National Provider Identifier
1184617029
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
047112 Issued in MO
Legal business name
KEARNEY FIRE & RESCUE PROTECTION DISTRICT
Practice address
201 E 6TH St
Kearney, MO 64060-8679
Phone
(816) 628-4122
Fax
(816) 628-5696
NPI assigned
Aug 25, 2005
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Rhonda Fort
Title
Adm Asst
Phone
(816) 628-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 047112 MO Primary

Addresses

Primary practice location

201 E 6TH St
Kearney, MO 64060-8679

Mailing address

201 E 6TH St
P.O. Box 341
Kearney, MO 64060-8679
Phone (816) 628-4122

Other identifiers 4

IdentifierTypeStateIssuer
590006811OtherRR MEDICARE
803014208MedicaidMO
019340OtherMOFAMILY HEALTH PARTNERS
17427011OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000091 MO Part B Supplier - Ambulance Service Supplier 9133224389 Practice locations: Kearney, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0983429Kearney Fire & Rescue Protection Dist201 E 6TH Street, Kearney, MO 64060Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

201 E 6th St
Kearney, MO 64060
Phone (816) 628-4122

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1184617029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 6TH ST",
            "address_2": "P.O. BOX 341",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608679",
            "telephone_number": "816-628-4122",
            "fax_number": "816-628-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 6TH ST",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608679",
            "telephone_number": "816-628-4122",
            "fax_number": "816-628-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY FIRE & RESCUE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADM ASST",
        "authorized_official_telephone_number": "816-628-4122"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "047112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590006811",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803014208",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "019340",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17427011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.