1184617029 NPI number — KEARNEY FIRE & RESCUE PROTECTION DISTRICT

Table of content: (NPI 1184617029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184617029 NPI number — KEARNEY FIRE & RESCUE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KEARNEY FIRE & RESCUE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184617029
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 E 6TH ST
Provider Second Line Business Mailing Address:
P.O. BOX 341
Provider Business Mailing Address City Name:
KEARNEY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64060-8679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-628-4122
Provider Business Mailing Address Fax Number:
816-628-5696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 E 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KEARNEY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64060-8679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-628-4122
Provider Business Practice Location Address Fax Number:
816-628-5696
Provider Enumeration Date:
08/25/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FORT
Authorized Official First Name:
RHONDA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADM ASST
Authorized Official Telephone Number:
816-628-4122

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  047112 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 17427011 . This is a "BCBS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 590006811 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 019340 . This is a "FAMILY HEALTH PARTNERS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 803014208 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".