Organization Active NPI

South Metropolitan Fire Protection District

  • Ambulance
  • Raymore, MO
National Provider Identifier
1598843450
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
037061 Issued in MO
Legal business name
SOUTH METROPOLITAN FIRE PROTECTION DISTRICT
Practice address
611 W Foxwood Dr
Raymore, MO 64083-9194
Phone
(816) 331-3008
NPI assigned
Nov 1, 2006
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Mr. Lee R Stevens
Title
Fire Chief/District Manager
Phone
(816) 331-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 037061 MO Primary

Addresses

Primary practice location

611 W Foxwood Dr
Raymore, MO 64083-9194

Mailing address

PO Box 467
Raymore, MO 64083-0467
Phone (816) 331-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000281 MO Part B Supplier - Ambulance Service Supplier 7012080575 Practice locations: Raymore, MO; Lake Winnebago, MO

National Provider Directory

National Provider Directory

Locations

18701 E 163rd St
Lake Winnebago, MO 64034
Phone (816) 331-3008

341 N Conway St
Raymore, MO 64083
Phone (816) 331-3008

611 W Foxwood Dr
Raymore, MO 64083
Phone (816) 331-3008

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1598843450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640830467",
            "telephone_number": "816-331-3008",
            "fax_number": "844-704-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839194",
            "telephone_number": "816-331-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METROPOLITAN FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF/DISTRICT MANAGER",
        "authorized_official_telephone_number": "816-331-3008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "037061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.