Organization
CITY OF GRANDVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK DECKER (ASS. CITY ADMIN / FINANCE DIRECTOR)
(816) 316-4804
Entity
Organization
Contact information
Practice address
7005 HIGHGROVE ROAD, GRANDVIEW, MO 64030
(816) 316-4960
(816) 767-1689
Mailing address
1200 MAIN STREET, GRANDVIEW, MO 64030
(816) 763-3907
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
095087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03430014
BLUE CROSS
MO
01
—
590000100
RAIL ROAD MEDICARE
MO
05
—
802113803
—
MO
Enumeration date
02/08/2007
Last updated
12/30/2021
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