MADISON COUNTY AMBULANCE DISTRICT (NPI# 1760630032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760630032 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY AMBULANCE DISTRICT |
| Practice Address |
611 W Main St Fredericktown MO 63645-1111 |
| Mailing Address |
Po Box 492 Fredericktown MO 63645-0492 |
| Practice Telephone | 5737832552 |
| Mailing Telephone | 5737832552 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. MARTHA MCGRAW (CHAIRMAN) |
| Authorized Official Telephone | 5737832552 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | PENDING | MO | Transportation Services |
| Street Address |
611 W MAIN ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235419 | Ashvin D. Patel | Emergency Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2006-02-22 |
| 1306402680 | Alanna Guess | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2019-05-13 |
| 1225487143 | Heather Cheaney | Clinical Nurse Specialist | 611 W Main St, Fredericktown, MO 63645-1111 | 2016-06-10 |
| 1225355027 | Craig J. Millham | Mechanotherapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2010-05-03 |
| 1154648954 | Michele Rubel | Mechanotherapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2010-05-03 |
| 1558545871 | Corinna D Defrancesco | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-12-21 |
| 1780802512 | Susan Lee Krydynski | Occupational Therapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-04-24 |
| 1669514436 | Madison Medical Center | Emergency Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-02-12 |
| 1801948880 | Madison Medical Center | Pharmacy | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-01-18 |
| 1104973858 | Nancy D Lodge | Pediatrics | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748397 | Guardian Advantage LLC | Ambulance | 2089 Exchange Dr, Saint Charles, MO 63303-5988 | 2020-04-07 |
| 1316591035 | John Knox Village | Ambulance | 400 Nw Murray Rd, Lees Summit, MO 64081-1498 | 2019-07-31 |
| 1346637105 | Aps Ambulance, LLC | Ambulance | 2950 Nw Platte Rd, Riverside, MO 64150-9636 | 2015-04-20 |
| 1376982801 | Gateway Emergency Medical Transportation LLC | Ambulance | 8050 Watson Rd Ste 140, Saint Louis, MO 63119-5337 | 2013-06-18 |
| 1154617579 | Oregon County Ambulance District | Ambulance | 722 West Walnut St, Thayer, MO 65791-1277 | 2011-06-23 |
| 1396051207 | City of Olivette | Ambulance | 9473 Olive Blvd, Olivette, MO 63132-3131 | 2010-08-30 |
| 1467770438 | City of Frontenac | Ambulance | 10555 Clayton Rd, Frontenac, MO 63131-2915 | 2010-05-14 |
| 1205154002 | Agile Specialty Transportation, LLC | Ambulance | 320 Brookes Dr Ste 212, Hazelwood, MO 63042-2740 | 2010-05-04 |
| 1013199231 | Gateway Ambulance Service LLC | Ambulance | 1530 Fairview Ave, Saint Louis, MO 63132-1302 | 2007-11-29 |
| 1194929240 | East Carter County Volunteer Ambulance | Ambulance | Rt. 2 Box 2004, South Side Hwy. A At West City Limits, Ellsinore, MO 63937-0160 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
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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.