West Platte Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

165034 Issued in MO

Legal business name

WEST PLATTE FIRE PROTECTION DISTRICT

Practice address

17870 State Route 45 North
Weston, MO 64098-9502

Phone

(816) 640-2724

Fax

(816) 640-2724

NPI assigned

Mar 27, 2007

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Johnson

Title

Administrator of Emergency Services

Phone

(816) 640-2724

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1558480244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 STATE ROUTE 45 NORTH",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "640989502",
            "telephone_number": "816-640-2724",
            "fax_number": "816-640-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17870 STATE ROUTE 45 NORTH",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "640989502",
            "telephone_number": "816-640-2724",
            "fax_number": "816-640-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PLATTE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR OF EMERGENCY SERVICES",
        "authorized_official_telephone_number": "816-640-2724",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "165034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "20042015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806849402",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Susan Julia Wurtenberger, LMSW

• Land Ambulance in Weston, MO
• Providers in Weston, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.