Active NPI
South Metropolitan Fire Protection District
- Ambulance
- Raymore, MO
National Provider Identifier
1598843450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 037061
- 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, 2018
- 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
- Mr. Lee R Stevens
- Title
- Fire Chief/District Manager
- Phone
- (816) 331-3008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080717000281 | MO | Part B Supplier - Ambulance Service Supplier | 7012080575 | Practice locations: Raymore, MO; Lake Winnebago, MO |
National Provider Directory
National Provider DirectoryLocations
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.