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NPI Code Detail

MEDICARE: NEW MADRID COUNTY AMBULANCE DISTRICT

MEDICARE: NEW MADRID 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 Ambulance143006MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129787OTHERMOBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316917263
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW MADRID COUNTY AMBULANCE DISTRICT
Provider Business Mailing Address
First Line : PO BOX 457
Second Line :
City : WHEELING
State : IL
Zip : 60090-0457
Country : US
Telephone Number : 847-305-5236
Fax Number :
Provider Business Practice Location Address
First Line : 340 US HIGHWAY 61
Second Line :
City : NEW MADRID
State : MO
Zip : 63869-9753
Country : US
Telephone Number : 573-748-5571
Fax Number : 573-748-8900
Authorized Official
Title or Position : DIRECTOR
Name : MR. PATRICK GARRISON
Credential :
Telephone Number : 573-748-5571
Provider Enumeration Date : 01/24/2006
Last Update Date : 01/03/2023

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Directions to “NEW MADRID COUNTY AMBULANCE DISTRICT ” Practice Location

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