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

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0997722Holt Community Fire Protection Distric
260 North 33 Highway, Holt, MO 64048
Certificate of waiverMar 10, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
801646308MedicaidMO
03687011OtherMOBLUE CROSS

Other names

  • HCFPD Other name

Other providers in Holt, MO

All providers in Holt, MO · Land Ambulance in Missouri

Sources for this page

Verify at the official NPI Registry.