Healthcare Provider Details

I. General information

NPI: 1962607184
Provider Name (Legal Business Name): PLEASANT HILL FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 08/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 RICHLAND PKWY
PLEASANT HILL MO
64080
US

IV. Provider business mailing address

1300 RICHLAND PKWY
PLEASANT HILL MO
64080-4502
US

V. Phone/Fax

Practice location:
  • Phone: 816-540-9108
  • Fax: 816-987-9115
Mailing address:
  • Phone: 816-540-9108
  • Fax: 816-987-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number037087
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number037087
License Number StateMO

VIII. Authorized Official

Name: CARLA F DEUBNER
Title or Position: OFFICE MANAGER
Credential:
Phone: 816-540-9108