CALDWELL COUNTY AMBULANCE DISTRICT NPI 1245333244

NPI Information

NPI: 1245333244
Provider Name: CALDWELL COUNTY AMBULANCE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 26D0860975

Address:
480 S WASHINGTON ST
KINGSTON, MO
ZIP 64650
Phone: (816) 586-3801
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CALDWELL COUNTY AMBULANCE DISTRICT is a land transport ambulance in Kingston, MO. CALDWELL COUNTY AMBULANCE DISTRICT NPI is 1245333244. The provider is registered as an organization entity type.

The provider's business location address is:

480 S WASHINGTON ST
KINGSTON, MO
ZIP 64650-121
Phone: (816) 586-3801
Fax: (816) 586-4206

The provider's authorized official is Jeff Still .
The authorized official title is Director and has the following contact phone number (816) 586-3801.

The CLIA number assigned to this NPI record is 26D0860975 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 12/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	025003	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9004704	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
2	03575011	OTHER	MISSOURI	BCBS
3	800461907	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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