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NPI Code Detail

MEDICARE: NORTH JEFFERSON COUNTY AMBULANCE DISTRICT

MEDICARE: NORTH JEFFERSON 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
13416L0300XLand Ambulance

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1590155622OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093711095
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH JEFFERSON COUNTY AMBULANCE DISTRICT
Provider Business Mailing Address
First Line : 3131 ROCK CREEK RD
Second Line :
City : HIGH RIDGE
State : MO
Zip : 63049-3102
Country : US
Telephone Number : 636-677-3399
Fax Number :
Provider Business Practice Location Address
First Line : 3131 ROCK CREEK RD
Second Line :
City : HIGH RIDGE
State : MO
Zip : 63049-3102
Country : US
Telephone Number : 636-677-3399
Fax Number :
Authorized Official
Title or Position : CHIEF
Name : JAMIE IRWIN GUINN
Credential :
Telephone Number : 270-293-9533
Provider Enumeration Date : 06/23/2005
Last Update Date : 12/11/2025

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Directions to “NORTH JEFFERSON COUNTY AMBULANCE DISTRICT ” Practice Location

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