DEKALB CLINTON AMBULANCE DISTRICT NO 1 NPI 1477550937

NPI Information

NPI: 1477550937
Provider Name: DEKALB CLINTON AMBULANCE DISTRICT NO 1
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 26D0965446

Address:
261 SE OFFUTT RD
PO 501
MAYSVILLE, MO
ZIP 64469
Phone: (816) 669-3642
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DEKALB CLINTON AMBULANCE DISTRICT NO 1 is a land transport ambulance in Maysville, MO. DEKALB CLINTON AMBULANCE DISTRICT NO 1 NPI is 1477550937. The provider is registered as an organization entity type.

The provider's business location address is:

261 SE OFFUTT RD
PO 501
MAYSVILLE, MO
ZIP 64469-149
Phone: (816) 669-3642
Fax: (816) 669-3642

The provider's authorized official is Rose L Barnes .
The authorized official title is Supervisor and has the following contact phone number (816) 669-3642.

The CLIA number assigned to this NPI record is 26D0965446 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 12/2/2016.

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	063002	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	08167011	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
2	1477550937	MEDICARE NSC	MISSOURI
3	T02666154	OTHER	MISSOURI	VA CHAMPUS
4	590077838A	OTHER	MISSOURI	RAILROAD MEDICARE

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: 5/5/2024

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