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General NPI Number Information
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NPI Number | 1184522245
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Entity Type | Organization
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Legal Business Name | WASHINGTON COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 6900 BILL GUM BUSINESS BLVD
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City | MINERAL POINT
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State | MO
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Zip | 63660-9253
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Country | US
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Telephone | 573-438-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 BILL GUM BUSINESS BLVD
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City | MINERAL POINT
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State | MO
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Zip | 63660-9253
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Country | US
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Telephone | 573-438-3635
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Fax |
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Authorized Official
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Title or Position | MANAGER BILLING & CLAIMS
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Name | CRYSTAL COFFMAN
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Credential |
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Telephone | 573-438-3635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146E00000X
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Taxonomy Name | Community Paramedic
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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