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Organization

WEST PECULIAR FIRE PROTECTION DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH LOUIS LOAR III EMT-P (ASSISTANT FIRE CHIEF / EMS MANAGER)
(816) 779-5766
Entity
Organization

Contact information

Practice address
200 S MAIN ST, PECULIAR, MO 64078-9612
(816) 779-5766
(816) 779-5769
Mailing address
200 S MAIN ST, PECULIAR, MO 64078-9612
(816) 779-5766
(816) 779-5769

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
037109
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25456018
BLUE CROSS
MO
01
590015120
RAIL ROAD MEDICARE
MO
05
803978709
MO
Enumeration date
12/04/2006
Last updated
12/15/2022
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