Provider Demographics
NPI:1407404098
Name:COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT
Other - Org Name:RAYTOWN FIRE PROTECTION DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CHIEF, EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHLAPEK
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P, CFO, CEMSO
Authorized Official - Phone:816-737-6034
Mailing Address - Street 1:6020 RAYTOWN TRFY
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3856
Mailing Address - Country:US
Mailing Address - Phone:816-737-6034
Mailing Address - Fax:
Practice Address - Street 1:6020 RAYTOWN TRFY
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-3856
Practice Address - Country:US
Practice Address - Phone:816-737-6034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF JACKSON RAYTOWN FIRE PROTECTION DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-28
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport