WEST CARTER COUNTY AMBULANCE (NPI# 1962528760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962528760 |
Entity Type | Organization |
Organization Name | WEST CARTER COUNTY AMBULANCE |
Practice Address |
1301 Main St. Van Buren MO 63965-0160 |
Mailing Address |
Po Box 160 Van Buren MO 63965-0160 |
Practice Telephone | 5733234791 |
Practice Fax Number | 5733238030 |
Mailing Telephone | 5733234791 |
Mailing Fax Number | 5733238030 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2018-03-05 |
Authorized Official Name | MR. MICHAEL C KENNEDY (EMS MANAGER) |
Authorized Official Telephone | 5733234791 |
Authorized Official Credential | EMT-P |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
035009 | MO | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 800551509 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WEST CARTER COUNTY AMBULANCE DISTRICT | 1301 Business Hwy 60, Van Buren, MO 63965 |
Street Address |
1301 MAIN ST. |
City | VAN BUREN |
State | MO |
Zip Code | 63965-0160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902390396 | Daya Krumenacker | Behavior Technician | 1011 Old Business Highway 60, Van Buren, MO 63965 | 2018-06-19 |
1396196234 | Pryor Family Dental, LLC | Dentist | 511 W Elsie St, Van Buren, MO 63965 | 2016-06-22 |
1902160302 | Christina Ann Pryor | Dentist | 511 West Elsie Street, Van Buren, MO 63965 | 2012-06-29 |
1750563607 | Melissa Lynn Meloy | Counselor | 1011 B Main Street, Van Buren, MO 63965 | 2007-12-03 |
1437343019 | Melissa L Christian | Nurse Practitioner | 1009 Main Street, Vanburen, MO 63965 | 2007-08-28 |
1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
1285758698 | Ryan Clarke Vanwinkle | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2007-03-19 |
1568577740 | Gary Guy Tuttle | Dentist | 511 West Elsie St., Van Buren, MO 63965 | 2006-08-20 |
1306191036 | Angela Kimberly Kearbey | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-07-18 |
1477824274 | Andrea Foerster | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-01-25 |
Find all providers in zip 63965 |
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 |
---|---|---|---|---|
1215989207 | Wes Mccabe | Ambulance | 6337 Industrial Park Rd, Van Buren, AR 72956-8482 | 2006-05-17 |
1306149232 | Care One Ems LLC | Ambulance | 6337 Industrial Park Rd, Van Buren, AR 72956-8482 | 2010-12-15 |
1720381957 | Care One Ems LLC (oklahoma) | Ambulance | 6337 Industrial Park Rd, Van Buren, AR 72956-8482 | 2010-12-09 |
1871618256 | Van Buren Ambulance Service | Ambulance | 51 Main St, Van Buren, ME 04785-1027 | 2007-03-21 |
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 |
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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.