Active NPI
County of Jackson Raytown Fire Protection District
Doing business as Raytown Fire Protection District
- Land Ambulance
- Raytown, MO
National Provider Identifier
1407404098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT
- Doing business as
- Raytown Fire Protection District
- Practice address
- 6020 Raytown Trfy
Raytown, MO 64133-3856 - Phone
- (816) 737-6034
- NPI assigned
- Aug 28, 2019
- Last updated
- Nov 18, 2019
- Organization subpart
- Yes
- Parent organization
- COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ben David Chlapek, NREMT-P, CFO, CEMSO
- Title
- Assistant Chief, EMS
- Phone
- (816) 737-6034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
6020 Raytown Trfy
Raytown, MO 64133-3856
Mailing address
6020 Raytown Trfy
Raytown, MO 64133-3856
Phone (816) 737-6034
Other names 1
- Raytown Fire Protection District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104001688 | MO | Part B Supplier - Ambulance Service Supplier | 2062744485 | Practice locations: Raytown, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0982349 | Raytown Fire Protection District | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider Directory- Part of
- County of Jackson Raytown Fire Protection District
Locations
6020 Raytown Trfy
Raytown, MO 64133
Phone (816) 737-6034
7611 Raytown Rd
Raytown, MO 64138
Phone (816) 737-6041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574035200000",
"number": "1407404098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 RAYTOWN TRFY",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333856",
"telephone_number": "816-737-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 RAYTOWN TRFY",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333856",
"telephone_number": "816-737-6034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT",
"enumeration_date": "2019-08-28",
"last_updated": "2019-11-18",
"status": "A",
"authorized_official_last_name": "CHLAPEK",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "ASSISTANT CHIEF, EMS",
"authorized_official_telephone_number": "816-737-6034",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NREMT-P, CFO, CEMSO"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Raytown Fire Protection District",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.