Active NPI
Central Cass County Fire & Ambulance Protection District
- Land Ambulance
- Harrisonville, MO
National Provider Identifier
1265702971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 037079
- Legal business name
- CENTRAL CASS COUNTY FIRE & AMBULANCE PROTECTION DISTRICT
- Practice address
- 2507 SE Outer Rd
Harrisonville, MO 64701-6366 - Phone
- (816) 380-6744
- Fax
- (816) 884-3366
- NPI assigned
- Jan 11, 2012
- Last updated
- Jan 11, 2012
- 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
- Mr. George E Poulignot III, EMT-P
- Title
- Assistant Chief
- Phone
- (816) 380-6744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 037079 | MO | Primary |
Addresses
Primary practice location
2507 SE Outer Rd
Harrisonville, MO 64701-6366
Mailing address
2507 SE Outer Rd
PO Box 668
Harrisonville, MO 64701-6366
Phone (816) 380-6744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120228000450 | MO | Part B Supplier - Ambulance Service Supplier | 6103084744 | Practice locations: Archie, MO; Harrisonville, MO |
National Provider Directory
National Provider Directory- Tax ID family
- Central Cass Fire Prot
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Harrisonville, MO
- NPI 1386686046
Locations
201 E Pine St
Archie, MO 64725
Phone (816) 380-6744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1265702971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 SE OUTER RD",
"address_2": "PO BOX 668",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647016366",
"telephone_number": "816-380-6744",
"fax_number": "816-884-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 SE OUTER RD",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647016366",
"telephone_number": "816-380-6744",
"fax_number": "816-884-3366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CASS COUNTY FIRE & AMBULANCE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "POULIGNOT",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "816-380-6744",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "037079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonville, MO
- Cass Regional Medical Center
- Cass Regional Medical Center (Harrisonville Medical Clinic)
- Cass Regional Medical Center
- Cass Regional Medical Center
- Cedar Family Care Missouri LLC
- Central Cass Fire Protection District Improvement Corporation
- Lindsay Chambers, LCSW
- Jolie Rae Chance, D.O.
- Rebecca Chapin, BCBA
- Lauren Chapman, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.