Organization
INTER CITY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JEWELL (CHIEF)
(816) 461-9090
Entity
Organization
Contact information
Practice address
1702 BLUE RIDGE BLVD, BLUE SUMMIT, MO 64126-3016
(816) 461-9090
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407192404
—
MO
01
—
49066011
MO BCBS
—
01
—
PO1216595
RAILROAD MEDICARE
—
Enumeration date
12/19/2012
Last updated
06/30/2015
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