Organization Active NPI

County of Jackson Raytown Fire Protection District

Doing business as Raytown Fire Protection District

  • Land Ambulance
  • Raytown, MO
National Provider Identifier
1407404098
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104001688 MO Part B Supplier - Ambulance Service Supplier 2062744485 Practice locations: Raytown, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0982349Raytown Fire Protection District6020 Raytown Trafficway, Raytown, MO 64133Certificate of waiverJan 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.

Verify at the official NPI Registry.