City of Lees Summit

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

095044 Issued in MO

Legal business name

CITY OF LEES SUMMIT

Practice address

207 SE Douglas St
Lees Summit, MO 64063-2328

Phone

(888) 731-3444

Fax

(888) 972-9641

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Stephen A. Arbo

Title

City Manager

Phone

(816) 969-1010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CITY OF LEE'S SUMMIT AMBULANCE SERVICE Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396721502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640637600",
            "telephone_number": "888-731-3444",
            "fax_number": "888-972-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632328",
            "telephone_number": "888-731-3444",
            "fax_number": "888-972-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LEES SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARBO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "816-969-1010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "095044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800462202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "03624012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF LEE'S SUMMIT AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITY OF LEE'S SUMMIT AMBULANCE SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Chuda, DO
• Ravindra Reddy Chuda, MD
• Lauren Chun, MSN
• Matthew Cianciolo, DO
• Jessica Cisneros, C.N.M.
• Amy Clark
• Brooke Renee Clark, M.S. CCC-SLP
• Channel Trenise Clark, PMHNP-BC
• Crystal Michelle Clark
• Morgan Lee Clark, DPT

• Land Ambulance in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.