Healthcare Provider Details

I. General information

NPI: 1558480244
Provider Name (Legal Business Name): WEST PLATTE FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17870 STATE ROUTE 45 NORTH
WESTON MO
64098-9502
US

IV. Provider business mailing address

17870 STATE ROUTE 45 NORTH
WESTON MO
64098-9502
US

V. Phone/Fax

Practice location:
  • Phone: 816-640-2724
  • Fax: 816-640-2724
Mailing address:
  • Phone: 816-640-2724
  • Fax: 816-640-2724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number165034
License Number StateMO

VIII. Authorized Official

Name: MRS. LYNN JOHNSON
Title or Position: ADMINISTRATOR OF EMERGENCY SERVICES
Credential:
Phone: 816-640-2724