LINCOLN COUNTY AMB DIST (NPI# 1063419620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419620 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY AMB DIST |
| Practice Address |
1392 South 3rd St Troy MO 63379 |
| Mailing Address |
Po Box 157 Troy MO 63379-0157 |
| Practice Telephone | 6365288488 |
| Practice Fax Number | 6365286828 |
| Mailing Telephone | 6365288488 |
| Mailing Fax Number | 6365286828 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MR. RAY ANTONACCI (CHIEF ADMINISTRATOR) |
| Authorized Official Telephone | 6362952186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
113000 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800459802 | 05 |
| Street Address |
1392 SOUTH 3RD ST |
| City | TROY |
| State | MO |
| Zip Code | 63379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| 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 |
|---|---|---|---|---|
| 1972146157 | City of Troy | Ambulance | 200 S Geo Wallace Dr, Troy, AL 36081-4606 | 2019-10-21 |
| 1295164655 | Troy Fire Protection District | Ambulance | 116 W Clay St, Troy, IL 62294-1111 | 2013-11-06 |
| 1023393709 | City of Troy | Ambulance | 521 Eagle Alley, Troy, ID 83871 | 2011-10-13 |
| 1225288681 | Haynes Ambulance of Troy LLC | Ambulance | 510 S Brundidge St, Troy, AL 36081-3334 | 2008-09-23 |
| 1417159021 | Elizabeth Township Board of Trustees | Ambulance | 2287 S Childrens Home Rd, Troy, OH 45373-9652 | 2007-06-05 |
| 1265566913 | Western Alliance Emergency Services Inc | Ambulance | 430 Canton St, Troy, PA 16947-1444 | 2007-03-15 |
| 1225164064 | Ira Burroughs | Ambulance | 205 Edwardsville Rd, Troy, IL 62294-1301 | 2007-02-26 |
| 1629171723 | Troy Volunteer Ambulance | Ambulance | 210 N Third St, Troy, MT 59935-0641 | 2006-09-06 |
| 1285626002 | City of Troy-city Auditor | Ambulance | 19 E Race St, Troy, OH 45373-3564 | 2005-08-18 |
| 1275900425 | Troy Volunteer Fire and Ambulance | Ambulance | 109 W 6th St, Troy, ID 83871 | 2015-08-24 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on LINCOLN COUNTY AMB DIST.
| 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.