Organization
CITY OF LIBERTY
Active
Other names
Liberty Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON M SNIDER (FIRE CHIEF)
(816) 439-4310
Entity
Organization
Contact information
Practice address
200 W MISSISSIPPI ST, LIBERTY, MO 64068-1625
(816) 792-6005
(336) 791-0195
Mailing address
PO BOX 55, WATSONTOWN, PA 17777-0055
(570) 538-4488
(336) 791-0195
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
047031
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03766014
BLUE CROSS BLUE SHIELD
MO
01
—
100351260A
KS MEDICAID
KS
05
—
800464604
—
MO
01
—
826590824
RAIL ROAD MEDICARE
MO
Enumeration date
11/06/2006
Last updated
01/05/2026
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