Organization Active NPI

Medevac Medical Response Inc

Doing business as American Medical Response

  • Ambulance
  • Independence, MO
National Provider Identifier
1457386385
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MEDEVAC MEDICAL RESPONSE INC
Doing business as
American Medical Response
Practice address
2730 S Jackson Cir
Independence, MO 64057-1955
Phone
(816) 836-1594
Fax
(816) 254-1320
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Brian Scott Tierney
Title
Evp, Chief Financial Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

2730 S Jackson Cir
Independence, MO 64057-1955

Mailing address

PO Box 847199
Dallas, TX 75284-7199
Phone (800) 913-9106

Other identifiers 1

IdentifierTypeStateIssuer
800459901MedicaidMO

Other names 1

  • American Medical Response Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000887 MO Part B Supplier - Ambulance Service Supplier 8123912771 Practice locations: Independence, MO; Riverside, MO; Parkville, 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
26D0860834American Medical Response2730 South Jackson Circle, Independence, MO 64057Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

3121 S Dodgion Ave
Independence, MO 64055
Phone (816) 836-1594

2730 S Jackson Cir
Independence, MO 64057
Phone (816) 836-1594

8878 NW 63rd St
Ste 101
Parkville, MO 64152
Phone (816) 505-1838

2990 NW Vivion Rd
Riverside, MO 64150
Phone (816) 372-9024

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1457386385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847199",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847199",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S JACKSON CIR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571955",
            "telephone_number": "816-836-1594",
            "fax_number": "816-254-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVAC MEDICAL RESPONSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800459901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.