Holt Community Fire Protection District
Organization Active NPI Land Ambulance · Holt, MO
NPI 1992839740 · NPPES record last updated Apr 15, 2014
Key facts
- NPI
- 1992839740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 047121 (MO)
- Legal business name
- HOLT COMMUNITY FIRE PROTECTION DISTRICT
- Practice address
- 260 W. 33 Hwy
Holt, MO 64048 - Phone
- (877) 218-9126
- Fax
- (316) 689-3556
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert L. Looper
- Title
- Fire Chief
- Phone
- (816) 320-3612
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0997722 | Holt Community Fire Protection Distric | Certificate of waiver | Mar 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110609000568 | MO | Part B Supplier - Ambulance Service Supplier | 3779760269 | Practice locations: Holt, MO |
National Provider Directory
Locations
260 33 Hwy
Holt, MO 64048
Phone (816) 320-3612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 047121 | MO | Yes |
Addresses
Primary practice location
260 W. 33 Hwy
Holt, MO 64048
Mailing address
PO Box 225
Holt, MO 64048-0225
Phone (877) 218-9126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801646308 | Medicaid | MO | |
| 03687011 | Other | MO | BLUE CROSS |
Other names
- HCFPD
Other providers in Holt, 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, 2014. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.