1. Home
  2. Directory
  3. Missouri
  4. Lake Lotawana
  5. Ambulance
  6. NPI Profile

SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT
NPI 1003419490
Ambulance - Land Transport in Lake Lotawana, MO

Active since November 18, 2020CLIA 26D1070082 · Waiver
101 LOTAWANA DRIVE, LAKE LOTAWANA, MO 64086(816) 535-2320(816) 578-5815 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Nov 18, 2020 (2 updates tracked since 2020).

About Southern Jackson County Fire Protection District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT (NPI 1003419490) is a healthcare organization registered as a land transport in Lake Lotawana, Missouri and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through June 19, 2027, maintains a secondary practice location in Lees Summit, and lists William Nelson Large, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1003419490
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT
Location Address101 LOTAWANA DRIVELake Lotawana, MO 64086
Mailing Address101 Lotawana DriveLake Lotawana, MO 64086 · (816) 535-2320 · Fax (816) 578-5815
Phone(816) 535-2320
Fax(816) 578-5815
Organization SubpartNo
Authorized OfficialWilliam Nelson LargeFire Chief · (816) 535-2320
Enumeration DateNovember 18, 2020
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1003419490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X
101 LOTAWANA DRIVE, Lake Lotawana, MO 64086
Open in Google Maps ↗

Secondary Practice Location 1

Location 111010 Milton Thompson RdLees Summit, MO 64086-9564 · Phone (816) 525-4200 · Fax (816) 525-5909

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1070082

Southern Jackson County Fire Protection District · Lake Lotawana, MO
Active · expires Jun 19, 2027
CLIA Number26D1070082
Laboratory TypeAmbulance
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorScott C. Price
Laboratory Phone(816) 578-4211
Laboratory LocationSouthern Jackson County Fire Protection District101 Lotawana Drive, Lake Lotawana, MO 64086
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
1,008 services78 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
65 services44 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
53 services43 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Jackson County Fire Protection District's NPI number?

The NPI number for Southern Jackson County Fire Protection District is 1003419490. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Southern Jackson County Fire Protection District located?

Southern Jackson County Fire Protection District is located at 101 Lotawana Drive, Lake Lotawana, MO 64086. The listed phone number is (816) 535-2320.

What is Southern Jackson County Fire Protection District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Southern Jackson County Fire Protection District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1070082) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Jackson County Fire Protection District accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Jackson County Fire Protection District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Jackson County Fire Protection District was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.