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NPI 1073554861

NPI 1073554861 : JOHNSON COUNTY MISSOURI AMBULANCE : WARRENSBURG, MO

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General NPI Number Information
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    NPI Number           |    1073554861
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHNSON COUNTY MISSOURI AMBULANCE 
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Dates
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    Enumeration Date     |    06/10/2006
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    500 E YOUNG AVE 
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    City                 |    WARRENSBURG
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    State                |    MO
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    Zip                  |    64093-1200
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    Country              |    US
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    Telephone            |    660-747-5735
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    Fax                  |    660-212-0035
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Provider Business Mailing Address
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    Address Line         |    500 E YOUNG AVE 
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    City                 |    WARRENSBURG
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    State                |    MO
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    Zip                  |    64093-1200
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    Country              |    US
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    Telephone            |    660-747-5735
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    Fax                  |    660-212-0035
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE COORDINATOR
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    Name                 |     TERI  OGEGA 
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    Credential           |    
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    Telephone            |    660-747-5735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    101061
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    License Number State |    MO
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