MEDICARE: MONROE CITY 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
1	146L00000X	Paramedic	137014	MO
2	3416L0300X	Land Ambulance

Other Identifiers

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

General Provider Information

NPI Number	:	1386642312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE CITY AMBULANCE DISTRICT

Provider Business Mailing Address
First Line	:	225 5TH ST
Second Line	:
City	:	MONROE CITY
State	:	MO
Zip	:	63456-1341
Country	:	US
Telephone Number	:	573-735-4112
Fax Number	:	573-735-2747

Provider Business Practice Location Address
First Line	:	225 5TH ST
Second Line	:
City	:	MONROE CITY
State	:	MO
Zip	:	63456-1341
Country	:	US
Telephone Number	:	573-735-4112
Fax Number	:	573-735-2747

Authorized Official
Title or Position	:	ADMINISTRATOR, PARAMEDIC
Name	:	BLAIR D JOINER
Credential	:
Telephone Number	:	573-735-4112

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/23/2024

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Directions to “MONROE CITY AMBULANCE DISTRICT ” Practice Location

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