Organization
CITY OF GLADSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY DOBBS (SECRETARY)
(800) 538-8278
Entity
Organization
Contact information
Practice address
7010 N HOLMES ST, GLADSTONE, MO 64118-2646
(800) 538-8278
(580) 628-2273
Mailing address
7010 N HOLMES ST, GLADSTONE, MO 64118-2646
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
047040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06343016
BCBS PROVIDER NUMBER
MO
05
—
801370909
—
MO
01
—
826590120
RRMC PROVIDER NUMBER
MO
Enumeration date
10/18/2006
Last updated
03/31/2010
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