Healthcare Provider Details

I. General information

NPI: 1932138211
Provider Name (Legal Business Name): CITY OF PLEASANT VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 ROYAL ST
PLEASANT MO
64068
US

IV. Provider business mailing address

6500 ROYAL STREET
PLEASANT MO
64068
US

V. Phone/Fax

Practice location:
  • Phone: 816-792-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number047066
License Number StateMO

VIII. Authorized Official

Name: ROBERT STINSON
Title or Position: MANAGER
Credential:
Phone: 816-792-0200