Healthcare Provider Details

I. General information

NPI: 1467494815
Provider Name (Legal Business Name): CITY OF CHILLICOTHE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST
CHILLICOTHEE MO
64601-2555
US

IV. Provider business mailing address

PO BOX 410204
KANSAS CITY MO
64141-0204
US

V. Phone/Fax

Practice location:
  • Phone: 660-646-2139
  • Fax: 660-707-0434
Mailing address:
  • Phone: 660-646-2139
  • Fax: 660-707-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number117005
License Number StateMO

VIII. Authorized Official

Name: ERIC S REETER
Title or Position: FIRE CHIEF
Credential:
Phone: 660-646-2139