Organization
SOUTH METROPOLITAN FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE R STEVENS (FIRE CHIEF/DISTRICT MANAGER)
(816) 331-3008
Entity
Organization
Contact information
Practice address
611 W FOXWOOD DR, RAYMORE, MO 64083-9194
(816) 331-3008
Mailing address
PO BOX 467, RAYMORE, MO 64083-0467
(816) 331-3008
(844) 704-9561
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
037061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08814015
BLUE CROSS/BLUE SHIELD
MO
01
—
100276100A
KS MEDICAID
KS
01
—
590005873
RAIL ROAD MEDICARE
MO
05
—
801658402
—
MO
Enumeration date
11/01/2006
Last updated
03/13/2018
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