MEDICARE: UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY, KANSAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	925	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	608986300	OTHER		DOL
2	34690011	OTHER	KS	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639157555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY, KANSAS

Provider Business Mailing Address
First Line	:	PO BOX 175014
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66117-5014
Country	:	US
Telephone Number	:	913-573-5550
Fax Number	:	913-281-3655

Provider Business Practice Location Address
First Line	:	815 N 6TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2804
Country	:	US
Telephone Number	:	913-573-5550
Fax Number	:	913-281-3655

Authorized Official
Title or Position	:	CHIEF OF EMS
Name	:	MARK T HEATH
Credential	:
Telephone Number	:	913-573-5943

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	01/29/2026

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