Healthcare Provider Details

I. General information

NPI: 1578556023
Provider Name (Legal Business Name): MIDWEST EMERGENCY MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

IV. Provider business mailing address

PO BOX 11157
KANSAS CITY MO
64119-0157
US

V. Phone/Fax

Practice location:
  • Phone: 816-346-7220
  • Fax: 816-346-7242
Mailing address:
  • Phone: 855-381-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateMO

VIII. Authorized Official

Name: DR. STEVEN L RUSSELL
Title or Position: PRESIDENT
Credential: MD
Phone: 816-346-7220