MEDICARE: INDEPENDENCE FIRE DEPARTMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	146L00000X	Paramedic
3	251B00000X	Case Management Agency
4	251S00000X	Community/Behavioral Health Agency
5	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1932908993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENCE FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	950 N SPRING ST
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64050-2445
Country	:	US
Telephone Number	:	816-614-8779
Fax Number	:	816-325-7120

Provider Business Practice Location Address
First Line	:	950 N SPRING ST
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64050-2445
Country	:	US
Telephone Number	:	816-325-7123
Fax Number	:	816-325-7120

Authorized Official
Title or Position	:	BATTALION CHIEF OF EMS
Name	:	JOHN ARTHUR BOREL
Credential	:	COMMUNITY PARAMEDIC
Telephone Number	:	816-614-8779

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	07/21/2025

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Directions to “INDEPENDENCE FIRE DEPARTMENT ” Practice Location

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