Provider Demographics
NPI:1801872684
Name:CITY OF OVERLAND PARK FIRE DEPARTMENT
Entity type:Organization
Organization Name:CITY OF OVERLAND PARK FIRE DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF OF ADMINISTRATIVE SERV
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-888-6066
Mailing Address - Street 1:9550 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-5062
Mailing Address - Country:US
Mailing Address - Phone:913-888-6066
Mailing Address - Fax:913-888-8348
Practice Address - Street 1:9550 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5062
Practice Address - Country:US
Practice Address - Phone:913-888-6066
Practice Address - Fax:913-888-8348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1490341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00061709OtherRAILROAD MEDICARE
KS22949021OtherBLUE CROSS/BLUE SHIELD
P00061709OtherRAILROAD MEDICARE