Organization Active NPI

City of Gladstone

  • Land Ambulance
  • Gladstone, MO
National Provider Identifier
1235210832
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
047040 Issued in MO
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

Updated by the provider on Mar 31, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
826590120OtherMORRMC PROVIDER NUMBER
06343016OtherMOBCBS PROVIDER NUMBER
801370909MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000340 MO Part B Supplier - Ambulance Service Supplier 5193851954 Practice locations: Gladstone, MO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.