MEDICARE: HERMANN AREA 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	146N00000X	Basic Emergency Medical Technician	073008	MO
2	146L00000X	Paramedic	073008	MO
3	3416L0300X	Land Ambulance	073008	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590155569	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	81-80082	OTHER	MO	UNITED HEALTHCARE
4	29666	OTHER	MO	BLUE CROSS
5	52201	OTHER	MO	GROUP HEALTH PLAN

General Provider Information

NPI Number	:	1396742847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERMANN AREA AMBULANCE DISTRICT

Provider Business Mailing Address
First Line	:	510 W 16TH ST
Second Line	:
City	:	HERMANN
State	:	MO
Zip	:	65041-1502
Country	:	US
Telephone Number	:	573-486-3330
Fax Number	:	573-486-9034

Provider Business Practice Location Address
First Line	:	510 W 16TH ST
Second Line	:
City	:	HERMANN
State	:	MO
Zip	:	65041-1502
Country	:	US
Telephone Number	:	573-486-3330
Fax Number	:	573-486-9034

Authorized Official
Title or Position	:	OFFICE MANAGER, EMT-P
Name	:	LORENE A LIONBERGER
Credential	:
Telephone Number	:	573-486-3330

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	10/21/2011

Similar Medicare Providers

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Practice Location Address:

509 W 18TH ST
HERMANN, MO
65041-1547

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1306842406 — DR. DONALD C SWAYZE DO
Practice Location Address:

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HERMANN, MO
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1649278326 — GASCONADE COUNTY COUNSELING SERVICES, INC.
Practice Location Address:

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1922093608 — DARCY L HADLEY C.R.N.A.
Practice Location Address:

509 W 18TH ST
HERMANN, MO
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Practice Fax:

1881676815 — DR. CHAD AARON MAY D.C.
Practice Location Address:

601A MARKET ST
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65041-1351

Practice Phone: 573-486-3888
Practice Fax: 573-486-3889

1306807136 — LLOYD HEALTHCARE MANAGEMENT SYSTEMS INC
Practice Location Address:

1800 WEIN STREET
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65041

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Practice Fax:

Directions to “HERMANN AREA AMBULANCE DISTRICT ” Practice Location

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