Provider Demographics
NPI:1720148596
Name:PRAIRIE TOWNSHIP FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:PRAIRIE TOWNSHIP FIRE PROTECTION DISTRICT
Other - Org Name:PTFPD
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:816-525-4200
Mailing Address - Street 1:11010 MILTON THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-9564
Mailing Address - Country:US
Mailing Address - Phone:816-425-4200
Mailing Address - Fax:816-525-5909
Practice Address - Street 1:11010 MILTON THOMPSON RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-9564
Practice Address - Country:US
Practice Address - Phone:816-425-4200
Practice Address - Fax:816-525-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO095311146L00000X, 146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty