Provider Demographics
NPI:1386848505
Name:PRAIRIE TOWNSHIP FIRE PROTECTION DISTRICT OF JACKSON CO
Entity Type:Organization
Organization Name:PRAIRIE TOWNSHIP FIRE PROTECTION DISTRICT OF JACKSON CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-525-4200
Mailing Address - Street 1:11010 MILTON THOMPSON
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-9564
Mailing Address - Country:US
Mailing Address - Phone:816-525-4200
Mailing Address - Fax:
Practice Address - Street 1:11010 MILTON THOMPSON
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-9564
Practice Address - Country:US
Practice Address - Phone:816-525-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO9004299Medicare PIN