Organization Active NPI

Sni Valley Fire Protection District

  • Land Ambulance
  • Oak Grove, MO
National Provider Identifier
1407992225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
095265 Issued in MO
Legal business name
SNI VALLEY FIRE PROTECTION DISTRICT
Practice address
1601 S Broadway St
Oak Grove, MO 64075-9023
Phone
(816) 690-6990
Fax
(816) 690-6191
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mike Johnson
Title
Assistant Chief
Phone
(816) 690-6990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 095265 MO Primary

Addresses

Primary practice location

1601 S Broadway St
Oak Grove, MO 64075-9023

Mailing address

PO Box 55
Watsontown, PA 17777-0055
Phone (570) 538-4488

Other identifiers 2

IdentifierTypeStateIssuer
20657011OtherMOBLUE CROSS
00882OtherMORAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001145 MO Part B Supplier - Ambulance Service Supplier 6002805058 Practice locations: Bates City, MO; Oak Grove, MO

National Provider Directory

National Provider Directory

Locations

1601 S Broadway
Oak Grove, MO 64075
Phone (816) 625-4161

2200 S Broadway
Ste B
Oak Grove, MO 64075
Phone (816) 690-6990

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407992225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177770055",
            "telephone_number": "570-538-4488",
            "fax_number": "570-538-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S BROADWAY ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759023",
            "telephone_number": "816-690-6990",
            "fax_number": "816-690-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNI VALLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "816-690-6990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "095265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20657011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "00882",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.