Active NPI
City of Grandview
- Land Ambulance
- Grandview, MO
National Provider Identifier
1801936547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 095087
- Legal business name
- CITY OF GRANDVIEW
- Practice address
- 7005 Highgrove Road
Grandview, MO 64030 - Phone
- (816) 316-4960
- Fax
- (816) 767-1689
- NPI assigned
- Feb 8, 2007
- Last updated
- Dec 30, 2021
- 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
- Kirk Decker
- Title
- Ass. City Admin / Finance Director
- Phone
- (816) 316-4804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 095087 | MO | Primary |
Addresses
Primary practice location
7005 Highgrove Road
Grandview, MO 64030
Mailing address
1200 Main Street
Grandview, MO 64030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03430014 | Other | MO | BLUE CROSS |
| 590000100 | Other | MO | RAIL ROAD MEDICARE |
| 802113803 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081017000562 | MO | Part B Supplier - Ambulance Service Supplier | 5294893384 | Practice locations: Grandview, MO |
National Provider Directory
National Provider DirectoryLocations
1200 Main St
Grandview, MO 64030
Phone (816) 316-4800
7005 High Grove Rd
Grandview, MO 64030
Phone (816) 316-4960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640822400000",
"number": "1801936547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MAIN STREET",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "64030",
"fax_number": "816-763-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 HIGHGROVE ROAD",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "64030",
"telephone_number": "816-316-4960",
"fax_number": "816-767-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF GRANDVIEW",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "ASS. CITY ADMIN / FINANCE DIRECTOR",
"authorized_official_telephone_number": "816-316-4804"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "095087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "03430014",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "590000100",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "802113803",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, MO
- Gracyn Carmean, PT, DPT
- Barbara Lynn Cavanaugh, APRN
- Celebraces Truman Corners Ferguson LLC
- Centerwell Senior Primary Care (Mo) PC (CenterWell Senior Primary Care -Grandview)
- Jawaria Shoaib Chatta, MD
- Trevor S Clemons, DDS
- Michael Ross Coffey, PTA
- David Cohen, MD
- Comfort Dental Grandview Aaron Parkin DMD PC
- Concentra Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.