Provider Demographics
NPI:1396721502
Name:CITY OF LEES SUMMIT
Entity type:Organization
Organization Name:CITY OF LEES SUMMIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-969-1010
Mailing Address - Street 1:PO BOX 1600
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-7600
Mailing Address - Country:US
Mailing Address - Phone:888-731-3444
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:207 SE DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2328
Practice Address - Country:US
Practice Address - Phone:888-731-3444
Practice Address - Fax:888-972-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0950443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800462202Medicaid
MO03624012OtherBCBS PROVIDER NUMBER
MO9005137Medicare ID - Type UnspecifiedPROVIDER NUMBER
MO800462202Medicaid