Organization
CITY OF KIRKWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAMS (ACCOUNTANT)
(800) 538-8278
Entity
Organization
Contact information
Practice address
139 S KIRKWOOD RD, KIRKWOOD, MO 63122-4303
(800) 538-8278
(580) 628-2273
Mailing address
PO BOX 220579, KIRKWOOD, MO 63122-0579
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189111
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179258
BC/BS PROVIDER NUMBER
MO
01
—
P00052509
RRMC PROVIDER NUMBER
MO
Enumeration date
10/25/2006
Last updated
08/22/2020
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