Organization Active NPI

Lone Jack Community Fire Protection District

  • Land Ambulance
  • Lone Jack, MO
National Provider Identifier
1528096278
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
095303 Issued in MO
Legal business name
LONE JACK COMMUNITY FIRE PROTECTION DISTRICT
Practice address
107 West Main Street
Lone Jack, MO 64070-9761
Phone
(816) 512-2019
NPI assigned
Jun 30, 2006
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
David Kelsey
Title
Manager
Phone
(816) 512-2019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 095303 MO Primary

Addresses

Primary practice location

107 West Main Street
Lone Jack, MO 64070-9761

Mailing address

107 West Main Street
PO Box 50
Lone Jack, MO 64070-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000812 MO Part B Supplier - Ambulance Service Supplier 5092762302 Practice locations: Lone Jack, MO

National Provider Directory

National Provider Directory
Tax ID family
Lone Jack Commumity Fire Protection2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1528096278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "address_2": "PO BOX 50",
            "city": "LONE JACK",
            "state": "MO",
            "postal_code": "640700050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "city": "LONE JACK",
            "state": "MO",
            "postal_code": "640709761",
            "telephone_number": "816-512-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE JACK COMMUNITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-512-2019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "095303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Jack, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.