Healthcare Provider Details

I. General information

NPI: 1396742847
Provider Name (Legal Business Name): HERMANN AREA AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W 16TH ST
HERMANN MO
65041-1502
US

IV. Provider business mailing address

510 W 16TH ST
HERMANN MO
65041-1502
US

V. Phone/Fax

Practice location:
  • Phone: 573-486-3330
  • Fax: 573-486-9034
Mailing address:
  • Phone: 573-486-3330
  • Fax: 573-486-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number073008
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number073008
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number073008
License Number StateMO

VIII. Authorized Official

Name: MICHAEL JASON MUELLER
Title or Position: EMS ADMINISTRATOR
Credential:
Phone: 573-486-3330