Active NPI
Lone Jack Community Fire Protection District
- Land Ambulance
- Lone Jack, MO
National Provider Identifier
1528096278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 095303
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Protection
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Lone Jack, MO
- NPI 1497815369
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.