Healthcare Provider Details

I. General information

NPI: 1720148596
Provider Name (Legal Business Name): PRAIRIE TOWNSHIP FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11010 MILTON THOMPSON RD
LEES SUMMIT MO
64086-9564
US

IV. Provider business mailing address

11010 MILTON THOMPSON RD
LEES SUMMIT MO
64086-9564
US

V. Phone/Fax

Practice location:
  • Phone: 816-425-4200
  • Fax: 816-525-5909
Mailing address:
  • Phone: 816-425-4200
  • Fax: 816-525-5909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number095311
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number095311
License Number StateMO

VIII. Authorized Official

Name: MR. CHARLES R JONES JR.
Title or Position: DEPUTY CHIEF
Credential:
Phone: 816-525-4200