MEDICARE: SALINE COUNTY AMBULANCE DISTRICT NO 3

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	341600000X	Ambulance	195006	MO

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	:	1851394712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALINE COUNTY AMBULANCE DISTRICT NO 3

Provider Business Mailing Address
First Line	:	PO BOX 37
Second Line	:
City	:	MARSHALL
State	:	MO
Zip	:	65340-0037
Country	:	US
Telephone Number	:	660-886-3317
Fax Number	:	660-886-3316

Provider Business Practice Location Address
First Line	:	354 W ARROW ST
Second Line	:
City	:	MARSHALL
State	:	MO
Zip	:	65340-1903
Country	:	US
Telephone Number	:	660-886-3317
Fax Number	:	660-886-3316

Authorized Official
Title or Position	:	BUSINESS DIRECTOR
Name	:	ANGELA L MORTON
Credential	:
Telephone Number	:	660-886-3317

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/19/2023

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