West Peculiar Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

037109 Issued in MO

Legal business name

WEST PECULIAR FIRE PROTECTION DISTRICT

Practice address

200 S Main St
Peculiar, MO 64078-9612

Phone

(816) 779-5766

Fax

(816) 779-5769

NPI assigned

Dec 4, 2006

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Louis Loar III, EMT-P

Title

Assistant Fire Chief / EMS Manager

Phone

(816) 779-5766

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1336217645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789612",
            "telephone_number": "816-779-5766",
            "fax_number": "816-779-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789612",
            "telephone_number": "816-779-5766",
            "fax_number": "816-779-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PECULIAR FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "LOAR",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF / EMS MANAGER",
        "authorized_official_telephone_number": "816-779-5766",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "037109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25456018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803978709",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590015120",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Peculiar, MO
• Providers in Peculiar, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.