Provider Demographics
NPI:1316902695
Name:METROPOLITAN AMBULANCE SERVICES TRUST
Entity type:Organization
Organization Name:METROPOLITAN AMBULANCE SERVICES TRUST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-924-1700
Mailing Address - Street 1:PO BOX 873227
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64187-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6750 EASTWOOD TRAFFICWAY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64129-1940
Practice Address - Country:US
Practice Address - Phone:816-924-1700
Practice Address - Fax:816-921-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1185341600000X
MO095168341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO07531011OtherBLUE CROSS BLUE SHIELD
MO5810OtherFAMILY HEALTH PARTNERS
KS9003965Medicare ID - Type Unspecified
MO9009274Medicare ID - Type Unspecified