Active NPI
City of Gladstone
- Land Ambulance
- Gladstone, MO
National Provider Identifier
1235210832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 047040
- Legal business name
- CITY OF GLADSTONE
- Practice address
- 7010 N Holmes St
Gladstone, MO 64118-2646 - Phone
- (800) 538-8278
- Fax
- (580) 628-2273
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay Dobbs
- Title
- Secretary
- Phone
- (800) 538-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 047040 | MO | Primary |
Addresses
Primary practice location
7010 N Holmes St
Gladstone, MO 64118-2646
Mailing address
7010 N Holmes St
Gladstone, MO 64118-2646
Phone (800) 538-8278
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826590120 | Other | MO | RRMC PROVIDER NUMBER |
| 06343016 | Other | MO | BCBS PROVIDER NUMBER |
| 801370909 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100331000340 | MO | Part B Supplier - Ambulance Service Supplier | 5193851954 | Practice locations: Gladstone, MO |
National Provider Directory
National Provider DirectoryLocations
6569 N Prospect Ave
Gladstone, MO 64119
Phone (816) 436-2200
7010 N Holmes St
#10719
Gladstone, MO 64118
6118 N Oak Trfy
Gladstone, MO 64118
Phone (816) 436-2200
7010 N Holmes St
Kansas City, MO 64118
Phone (816) 423-4122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1235210832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 N HOLMES ST",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641182646",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 N HOLMES ST",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641182646",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF GLADSTONE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "DOBBS",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "800-538-8278"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "047040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PROVIDER NUMBER",
"identifier": "826590120",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "06343016",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "801370909",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.