Provider Demographics
NPI:1639157555
Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY, KANSAS
Entity Type:Organization
Organization Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY, KANSAS
Other - Org Name:KANSAS CITY, KANSAS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-573-5943
Mailing Address - Street 1:PO BOX 175014
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66117-5014
Mailing Address - Country:US
Mailing Address - Phone:913-573-5550
Mailing Address - Fax:913-281-3655
Practice Address - Street 1:815 N 6TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2804
Practice Address - Country:US
Practice Address - Phone:913-573-5550
Practice Address - Fax:913-281-3655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS925341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS34690011OtherBLUE CROSS BLUE SHIELD
KS100260930FMedicaid
KSP00179177Medicare PIN
KS100260930FMedicaid