Provider Demographics
NPI:1932908993
Name:INDEPENDENCE FIRE DEPARTMENT
Entity type:Organization
Organization Name:INDEPENDENCE FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BATTALION CHIEF OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:BOREL
Authorized Official - Suffix:
Authorized Official - Credentials:COMMUNITY PARAMEDIC
Authorized Official - Phone:816-614-8779
Mailing Address - Street 1:950 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-2445
Mailing Address - Country:US
Mailing Address - Phone:816-614-8779
Mailing Address - Fax:816-325-7120
Practice Address - Street 1:950 N SPRING ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-2445
Practice Address - Country:US
Practice Address - Phone:816-325-7123
Practice Address - Fax:816-325-7120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF INDEPENDENCE, MISSOURI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-12
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health