Concordia Fire Protection Dist Inc
Organization Active NPI Ambulance · Concordia, MO
NPI 1881743540 · NPPES record last updated Apr 15, 2013
Key facts
- NPI
- 1881743540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 10700 (MO)
- Legal business name
- CONCORDIA FIRE PROTECTION DIST INC
- Practice address
- 710 S. Orange St.
Concordia, MO 64020-0121 - Phone
- (660) 463-7900
- Fax
- (660) 463-2770
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Debra K Wulser, EMT-B
- Title
- Sec-Treas.
- Phone
- (660) 463-7900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000905 | MO | Part B Supplier - Ambulance Service Supplier | 8224921119 | Practice locations: Concordia, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 10700 | MO | Yes |
Addresses
Primary practice location
710 S. Orange St.
Concordia, MO 64020-0121
Mailing address
PO Box 121
Concordia, MO 64020-0121
Phone (660) 463-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03470013 | Other | MO | BLUE CROSS BLUE SHIELD |
| 800628901 | Medicaid | MO |
Other providers in Concordia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.