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ST. CLAIR COUNTY HOSPITAL DISTRICT #1 NPI 1306965280


NPI Information

NPI: 1306965280
Provider Name: ST. CLAIR COUNTY HOSPITAL DISTRICT #1

Doing Business As: SAC-OSAGE HOSPITAL AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
700 GIESLER RD
OSCEOLA, MO
ZIP 64776
Phone: (417) 646-8181
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ST. CLAIR COUNTY HOSPITAL DISTRICT #1 is a land transport ambulance in Osceola, MO. ST. CLAIR COUNTY HOSPITAL DISTRICT #1 NPI is 1306965280. The provider is registered as an organization entity type.
The provider Is Doing Business As Sac-osage Hospital Ambulance Service.

The provider's business location address is:

700 GIESLER RD
OSCEOLA, MO
ZIP 64776-279
Phone: (417) 646-8181
Fax: (417) 646-8379

The provider's authorized official is Alma F Rodabaugh .
The authorized official title is Business Office Manager and has the following contact phone number (417) 646-8181.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport185019MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1260147MEDICARE OSCAR/CERTIFICATIONMISSOURI
2800566507MEDICAIDMISSOURI

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: 4/28/2024

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