Healthcare Provider Details
I. General information
NPI: 1649078171
Provider Name (Legal Business Name): NTA EMERGENCY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S 25TH ST
BETHANY MO
64424-2300
US
IV. Provider business mailing address
PO BOX 182
BETHANY MO
64424-0182
US
V. Phone/Fax
- Phone: 660-425-6319
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
BARCLAY
Title or Position: CHIEF OF EMS
Credential: EMT-P
Phone: 660-425-6319