Provider Demographics
NPI:1912035791
Name:CITY OF BLUE SPRINGS
Entity Type:Organization
Organization Name:CITY OF BLUE SPRINGS
Other - Org Name:CITY OF BLUE SPRINGS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT-ACCOUNTS RECEIVABLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:EMBERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-228-0202
Mailing Address - Street 1:903 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3709
Mailing Address - Country:US
Mailing Address - Phone:816-228-0202
Mailing Address - Fax:816-228-0204
Practice Address - Street 1:903 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3709
Practice Address - Country:US
Practice Address - Phone:816-228-0202
Practice Address - Fax:816-228-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO095028341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800547507Medicaid
MO800547507Medicaid