Organization
SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NELSON LARGE (FIRE CHIEF)
(816) 535-2320
Entity
Organization
Contact information
Practice address
101 LOTAWANA DRIVE, LAKE LOTAWANA, MO 64086
(816) 535-2320
(816) 578-5815
Mailing address
101 LOTAWANA DRIVE, LAKE LOTAWANA, MO 64086
(816) 535-2320
(816) 578-5815
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
146N00000X
Basic Emergency Medical Technician
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
12/03/2020
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