Organization Active NPI

Concordia Fire Protection Dist Inc

  • Ambulance
  • Concordia, MO
National Provider Identifier
1881743540
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10700 Issued in 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
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Debra K Wulser, EMT-B
Title
Sec-Treas.
Phone
(660) 463-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10700 MO Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000905 MO Part B Supplier - Ambulance Service Supplier 8224921119 Practice locations: Concordia, MO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1881743540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200121",
            "telephone_number": "660-463-7900",
            "fax_number": "660-463-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S. ORANGE ST.",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200121",
            "telephone_number": "660-463-7900",
            "fax_number": "660-463-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA FIRE PROTECTION DIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "WULSER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SEC-TREAS.",
        "authorized_official_telephone_number": "660-463-7900",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "10700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.