Provider Demographics
NPI:1992839740
Name:HOLT COMMUNITY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:HOLT COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:HCFPD
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-320-3612
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MO
Mailing Address - Zip Code:64048-0225
Mailing Address - Country:US
Mailing Address - Phone:877-218-9126
Mailing Address - Fax:316-689-3556
Practice Address - Street 1:260 W. 33 HWY
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MO
Practice Address - Zip Code:64048
Practice Address - Country:US
Practice Address - Phone:877-218-9126
Practice Address - Fax:316-689-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0471213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO801646308Medicaid
MO03687011OtherBLUE CROSS
MO801646308Medicaid