Organization Active NPI

City of Grandview

  • Land Ambulance
  • Grandview, MO
National Provider Identifier
1801936547
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
095087 Issued in MO
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03430014OtherMOBLUE CROSS
590000100OtherMORAIL ROAD MEDICARE
802113803MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000562 MO Part B Supplier - Ambulance Service Supplier 5294893384 Practice locations: Grandview, MO

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.