MEDICARE: LINN 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
1	3416L0300X	Land Ambulance	115037	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590077917	OTHER	MO	RAILROAD MEDICARE

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	:	1881683183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINN COUNTY AMBULANCE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 876197
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64187-6197
Country	:	US
Telephone Number	:	660-258-2262
Fax Number	:	660-258-2218

Provider Business Practice Location Address
First Line	:	28600 HIGHWAY 11
Second Line	:
City	:	BROOKFIELD
State	:	MO
Zip	:	64628-8280
Country	:	US
Telephone Number	:	660-258-2262
Fax Number	:	660-258-2218

Authorized Official
Title or Position	:	DIRECTOR OF EMS
Name	:	MATT BOWEN
Credential	:
Telephone Number	:	660-258-2262

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	04/03/2026

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Directions to “LINN COUNTY AMBULANCE DISTRICT ” Practice Location

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