CLARK COUNTY AMBULANCE DISTRICT (NPI# 1558340877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558340877 |
| Entity Type | Organization |
| Organization Name | CLARK COUNTY AMBULANCE DISTRICT |
| Practice Address |
211 N Vine St Kahoka MO 63445-1283 |
| Practice Telephone | 6607273612 |
| Practice Fax Number | 6607272182 |
| Mailing Telephone | 6607273612 |
| Mailing Fax Number | 6607272182 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CINDA I JAMES (DIRECTOR) |
| Authorized Official Telephone | 6607273612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
045004 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BC/BS OF IOWA | ITS99 | 01 |
| IA | 0906834 | 05 | |
| MO | BC/BS OF MISSOURI | 155574 | 01 |
| Street Address |
211 N VINE ST |
| City | KAHOKA |
| State | MO |
| Zip Code | 63445-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497286462 | Nicole Davolt | Community Health Worker | 112 N Johnson St., Kahoka, MO 63445 | 2017-03-22 |
| 1376953554 | Samantha Allen | Speech-Language Pathologist | 566 E Commercial St, Kahoka, MO 63445 | 2014-04-28 |
| 1558781443 | Athena Marie Duncan | Technician/Technologist | 450 N Johnson, Kahoka, MO 63445 | 2014-04-18 |
| 1124208137 | Lynne E Barbour Dds PC | Dentist | 203 E Commercial, Kahoka, MO 63445 | 2007-11-07 |
| 1700912276 | Exceed Physical Therapy LLC | Physical Therapist | 120 South Johnson Street, Kahoka, MO 63445 | 2007-02-26 |
| 1417047887 | Lynne Barbour | Dentist | 203 East Commercial, Kahoka, MO 63445-0025 | 2006-10-13 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1336761873 | Erin Protsman | Nurse Practitioner | 304 Westbrooke Dr, Kahoka, MO 63445-1052 | 2020-05-07 |
| 1194718908 | Clark County Nursing Home | Skilled Nursing Facility | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2005-08-26 |
| 1851765960 | Jessica Dianne Boudreau | Occupational Therapy Assistant | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2015-12-01 |
| Find all providers in zip 63445 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275123 | Odessa Fire & Rescue Protection District | Ambulance | 301 W Dryden St, Odessa, MO 64076-1218 | 2019-10-02 |
| 1407404098 | County of Jackson Raytown Fire Protection District | Ambulance | 6020 Raytown Trfy, Raytown, MO 64133-3856 | 2019-08-28 |
| 1801268537 | New Image Nemt Ambulance Services | Ambulance | 4960 E Linwood Blvd, Kansas City, MO 64128-1801 | 2015-10-21 |
| 1013250620 | Pettis County Ambulance District | Ambulance | 210 W 4th St, Sedalia, MO 65301 | 2013-04-02 |
| 1407192404 | Inter City Fire Protection District | Ambulance | 1702 Blue Ridge Blvd, Blue Summit, MO 64126-3016 | 2012-12-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| 1508115775 | Butler County Ems LLC | Ambulance | 4005 South Westwood Blvd, Poplar Bluff, MO 63901 | 2012-09-04 |
| 1639439961 | St. James Ambulance District | Ambulance | 203 S Louise Ave, Saint James, MO 65559-1744 | 2012-05-21 |
| 1265702971 | Central Cass County Fire & Ambulance Protection District | Ambulance | 2507 Se Outer Rd, Harrisonville, MO 64701-6366 | 2012-01-11 |
| 1376845008 | Regional Emergency Medical Services Authority | Ambulance | 5010 Frederick Ave, Saint Joseph, MO 64506-3248 | 2010-12-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.