ST. JAMES AMBULANCE DISTRICT (NPI# 1790895100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790895100 |
Entity Type | Organization |
Organization Name | ST. JAMES AMBULANCE DISTRICT |
Practice Address |
203 S. Louise St. James MO 65559 |
Practice Telephone | 5732656565 |
Practice Fax Number | 5732650342 |
Mailing Telephone | 5732656565 |
Mailing Fax Number | 5732650342 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-05-16 |
Authorized Official Name | MR. BRYAN T LAMBETH (ADMINISTRATOR) |
Authorized Official Telephone | 5732656565 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
161012 | MO | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RR MEDICARE PROVIDER | 590014355 | 01 |
MO | 800548901 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639439961 | St. James Ambulance District | Ambulance | 203 S Louise Ave, Saint James, MO 65559-1744 | 2012-05-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST. JAMES AMBULANCE DISTRICT | 203 South Louise St, Saint James, MO 65559-1744 |
Street Address |
203 S. LOUISE |
City | ST. JAMES |
State | MO |
Zip Code | 65559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
1336114800 | Rachelle L Gorrell | Family Medicine | 1000 N Jefferson St, Saint James, MO 65559 | 2006-02-20 |
Find all providers in zip 65559 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.