Healthcare Provider Details

I. General information

NPI: 1619489093
Provider Name (Legal Business Name): A1 BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 DENNIS WEAVER DR
WEBB CITY MO
64870-7207
US

IV. Provider business mailing address

9400 STATE HIGHWAY 171
CARL JUNCTION MO
64834-5174
US

V. Phone/Fax

Practice location:
  • Phone: 417-623-3113
  • Fax:
Mailing address:
  • Phone: 417-649-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JACOB ASBELL
Title or Position: SOLE MEMBER
Credential:
Phone: 417-825-7168