MEDICARE: METROPOLITAN AMBULANCE SERVICES TRUST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1185	KS
2	341600000X	Ambulance	095168	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07531011	OTHER	MO	BLUE CROSS BLUE SHIELD
2	5810	OTHER	MO	FAMILY HEALTH PARTNERS

General Provider Information

NPI Number	:	1316902695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN AMBULANCE SERVICES TRUST

Provider Business Mailing Address
First Line	:	PO BOX 873227
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64187-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6750 EASTWOOD TRAFFICWAY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1940
Country	:	US
Telephone Number	:	816-924-1700
Fax Number	:	816-921-3389

Authorized Official
Title or Position	:	CFO
Name	:	JOAN JORDAN
Credential	:
Telephone Number	:	816-924-1700

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/17/2007

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Practice Location Address:

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Directions to “METROPOLITAN AMBULANCE SERVICES TRUST ” Practice Location

Language	Start Address	Practice Location

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