Organization
CONCORDIA FIRE PROTECTION DIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K WULSER EMT-B (SEC-TREAS.)
(660) 463-7900
Entity
Organization
Contact information
Practice address
710 S. ORANGE ST., CONCORDIA, MO 64020-0121
(660) 463-7900
(660) 463-2770
Mailing address
PO BOX 121, CONCORDIA, MO 64020-0121
(660) 463-7900
(660) 463-2770
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03470013
BLUE CROSS BLUE SHIELD
MO
05
—
800628901
—
MO
Enumeration date
01/10/2007
Last updated
04/15/2013
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