Healthcare Provider Details

I. General information

NPI: 1780676015
Provider Name (Legal Business Name): SOUTH HOWELL COUNTY AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 E STATE ROUTE K
WEST PLAINS MO
65775-5100
US

IV. Provider business mailing address

1951 E STATE ROUTE K
WEST PLAINS MO
65775-5100
US

V. Phone/Fax

Practice location:
  • Phone: 417-256-2490
  • Fax: 417-257-1353
Mailing address:
  • Phone: 417-256-2490
  • Fax: 417-257-1353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number091022
License Number StateMO

VIII. Authorized Official

Name: JENNIFER HOBBS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 417-256-2490