Provider Demographics
NPI:1467494815
Name:CITY OF CHILLICOTHE
Entity Type:Organization
Organization Name:CITY OF CHILLICOTHE
Other - Org Name:CHILLICOTHE FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:REETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-646-2139
Mailing Address - Street 1:PO BOX 410204
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-0204
Mailing Address - Country:US
Mailing Address - Phone:660-646-2139
Mailing Address - Fax:660-707-0434
Practice Address - Street 1:700 2ND ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-2555
Practice Address - Country:US
Practice Address - Phone:660-646-2139
Practice Address - Fax:660-707-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
MO1170053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11263011OtherBCBS
MO800546608Medicaid
MO9004054OtherMEDICARE B
590077720OtherRAILROAD MEDICARE