Organization Active NPI

Central Cass County Fire & Ambulance Protection District

  • Land Ambulance
  • Harrisonville, MO
National Provider Identifier
1265702971
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
037079 Issued in MO
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Prot2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.