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CITY OF RAYTOWN NPI 1063582823


NPI Information

NPI: 1063582823
Provider Name: CITY OF RAYTOWN

Other Name: RAYTOWN EMERGENCY RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
10020 E 66TH TER
RAYTOWN, MO
ZIP 64133
Phone: (816) 737-6030
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CITY OF RAYTOWN is a land transport ambulance in Raytown, MO. CITY OF RAYTOWN NPI is 1063582823. The provider is registered as an organization entity type.
The provider Other Name Is Raytown Emergency Rescue.

The provider's business location address is:

10020 E 66TH TER
RAYTOWN, MO
ZIP 64133-251
Phone: (816) 737-6030

The provider's authorized official is Jeremy Thomas Willmoth .
The authorized official title is Director Of Finance and has the following contact phone number (816) 737-6084.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 12/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport095150MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19005746MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE
2590077790OTHERMISSOURIRAIL ROAD MEDICARE
312344017OTHERMISSOURIBLUE CROSS/BLUE SHIELD
4800551004MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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