DEKALB CLINTON AMBULANCE DISTRICT NO 1 (NPI# 1477550937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477550937 |
| Entity Type | Organization |
| Organization Name | DEKALB CLINTON AMBULANCE DISTRICT NO 1 |
| Practice Address |
261 Se Offutt Rd Po 501 Maysville MO 64469-9149 |
| Mailing Address |
261 Se Offutt Rd Po Box 501 Maysville MO 64469-9149 |
| Practice Telephone | 8166693642 |
| Practice Fax Number | 8166693642 |
| Mailing Telephone | 8166693642 |
| Mailing Fax Number | 8166693642 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MRS. ROSE L BARNES (SUPERVISOR) |
| Authorized Official Telephone | 8166693642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
063002 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | VA CHAMPUS | T02666154 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 08167011 | 01 |
| MO | RAILROAD MEDICARE | 590077838A | 01 |
| Street Address |
261 SE OFFUTT RD PO 501 |
| City | MAYSVILLE |
| State | MO |
| Zip Code | 64469-9149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285682633 | N & R of Maysville, LLC | Skilled Nursing Facility | 1201 S Polk St, Maysville, MO 64469-4028 | 2006-05-05 |
| 1063606408 | Ginger R Neill Bundy | Occupational Therapy Assistant | 1201 S Polk St, Maysville, MO 64469-4028 | 2007-08-29 |
| 1689646358 | Frederick D Kiehl | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| 1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
| 1881009538 | Srivani Chunchulu | Internal Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2014-06-20 |
| 1215150735 | Northwest Family Health, Inc. | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2007-04-11 |
| 1477525152 | Elisa Eh Vinyard | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| 1164638409 | Bristol Care, Inc. | Assisted Living Facility | 604 S Polk St, Maysville, MO 64469-4033 | 2007-05-15 |
| 1952327108 | Randolph Medical Plus LLC | Pharmacy | 301 S Polk St, Maysville, MO 64469-4037 | 2006-07-14 |
| 1245569383 | Dekalb County Reorganized School District R-i | Local Education Agency (LEA) | 601 W Main St, Maysville, MO 64469-8231 | 2009-12-21 |
| Find all providers in zip 64469 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1205169133 | Maysville Volunteer Fire Company | Ambulance | Route 42, Maysville, WV 26833 | 2009-09-10 |
| 1336334432 | Orangeburg Fire-rescue Dept. | Ambulance | 8002 Day Pike, Station 1, Maysville, KY 41056-9227 | 2007-09-11 |
| 1679530497 | Regional Transport | Ambulance | 1910 Old Main, Maysville, KY 41056 | 2006-04-26 |
| 1528066537 | Mason County | Ambulance | 216 Bridge St, Maysville, KY 41056-1208 | 2005-07-13 |
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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.