TANEY COUNTY AMBULANCE DISTRICT NPI 1750380044

NPI Information

NPI: 1750380044
Provider Name: TANEY COUNTY AMBULANCE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 26D0919691

Address:
18 INDUSTRIAL PARK DR
HOLLISTER, MO
ZIP 65672
Phone: (417) 334-6586
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TANEY COUNTY AMBULANCE DISTRICT is a land transport ambulance in Hollister, MO. TANEY COUNTY AMBULANCE DISTRICT NPI is 1750380044. The provider is registered as an organization entity type.

The provider's business location address is:

18 INDUSTRIAL PARK DR
HOLLISTER, MO
ZIP 65672-391
Phone: (417) 334-6586

The provider's authorized official is Melissa M Stiffler .
The authorized official title is Office Manager and has the following contact phone number (417) 334-6586.

The CLIA number assigned to this NPI record is 26D0919691 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/17/2018.

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	213021	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	109208	OTHER	MISSOURI	BLUECROSS BLUESHIELD
2	800630105	MEDICAID	MISSOURI
3	=========TAN	OTHER	MISSOURI	MERCY HEALTH PLANS

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

NPI Synchronization or Removal

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