Provider Demographics
NPI:1821085903
Name:LAWSON COMMUNITY FIRE & RESCUE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:LAWSON COMMUNITY FIRE & RESCUE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:NOLKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-580-3903
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:LAWSON
Mailing Address - State:MO
Mailing Address - Zip Code:64062-0327
Mailing Address - Country:US
Mailing Address - Phone:816-580-3903
Mailing Address - Fax:816-580-4041
Practice Address - Street 1:402 E 6TH ST
Practice Address - Street 2:
Practice Address - City:LAWSON
Practice Address - State:MO
Practice Address - Zip Code:64062-9302
Practice Address - Country:US
Practice Address - Phone:816-580-3903
Practice Address - Fax:816-580-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1770163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO31339014OtherBCBS OF KANSAS CITY
MO805826708Medicaid
MO805826708Medicaid
MO590015561Medicare ID - Type UnspecifiedRAILROAD MEDICARE