MEDICARE: CITY OF KANSAS CITY MISSOURI

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1730419227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF KANSAS CITY MISSOURI

Provider Business Mailing Address
First Line	:	6750 EASTWOOD TRAFFICWAY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1940
Country	:	US
Telephone Number	:	816-924-1700
Fax Number	:	816-921-3389

Provider Business Practice Location Address
First Line	:	6750 EASTWOOD TRAFFICWAY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1940
Country	:	US
Telephone Number	:	816-924-1700
Fax Number	:	816-921-3389

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. PAUL J BERARDI
Credential	:
Telephone Number	:	816-784-9200

Provider Enumeration Date	:	01/05/2010
Last Update Date	:	06/25/2014

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Directions to “CITY OF KANSAS CITY MISSOURI ” Practice Location

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