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NPI Code Detail

MEDICARE: MACON COUNTY AMBULANCE DISTRICT

MEDICARE: MACON COUNTY AMBULANCE DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance

General Provider Information

NPI Number : 1073452348
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACON COUNTY AMBULANCE DISTRICT
Provider Business Mailing Address
First Line : PO BOX 582
Second Line :
City : MACON
State : MO
Zip : 63552-0582
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1305 N RUTHERFORD ST
Second Line :
City : MACON
State : MO
Zip : 63552-5101
Country : US
Telephone Number : 660-395-8640
Fax Number : 314-317-0193
Authorized Official
Title or Position : AMBULANCE DIRECTOR
Name : CHRIS BOGGUSS
Credential :
Telephone Number : 660-395-8640
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “MACON COUNTY AMBULANCE DISTRICT ” Practice Location

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