MEDICARE: SEMO EMS INC

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	017019	MO
2	3416L0300X	Land Ambulance	017051	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	130913	OTHER	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912057571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEMO EMS INC

Provider Business Mailing Address
First Line	:	PO BOX 91
Second Line	:
City	:	MARBLE HILL
State	:	MO
Zip	:	63764-0091
Country	:	US
Telephone Number	:	573-238-4837
Fax Number	:	573-238-3228

Provider Business Practice Location Address
First Line	:	RR 2 BOX 2162
Second Line	:	HWY 34 EAST
City	:	MARBLE HILL
State	:	MO
Zip	:	63764-9502
Country	:	US
Telephone Number	:	573-238-4837
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RANDALL LEE TUCKER
Credential	:	EMT-P
Telephone Number	:	573-238-3059

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	11/23/2016

Similar Medicare Providers

1891844536 — UNITY FAMILY SERVICES, INC.
Practice Location Address:

1001 S LEECHBURG HILL RD
LEECHBURG, PA
15656-9502

Practice Phone: 724-845-2978
Practice Fax: 724-845-0923

1558530774 — MICHELLE S GOULD MSW,LSW
Practice Location Address:

1001 S LEECHBURG HILL RD
LEECHBURG, PA
15656-9502

Practice Phone: 724-845-2978
Practice Fax:

1073840716 — MS. KATHE GOLDBECK WILSON MA, MFT
Practice Location Address:

1110 ROUGH AND READY HILL RD
COLFAX, CA
95713-9502

Practice Phone: 530-613-0801
Practice Fax:

1750658357 — DAVID KAMAKAKIHEALANI BURCHETT PHARMD
Practice Location Address:

2304 E NOB HILL BLVD
YAKIMA, WA
98901-9502

Practice Phone: 509-575-7552
Practice Fax:

1346688967 — CBR TRANSPORT LLC
Practice Location Address:

1250 SHARP HILL RD
ARKPORT, NY
14807-9502

Practice Phone: 585-728-9019
Practice Fax: 607-968-8046

1497185854 — SHARON WYLLYS RPH
Practice Location Address:

2304 E NOB HILL BLVD
YAKIMA, WA
98901-9502

Practice Phone: 509-575-7552
Practice Fax:

Directions to “SEMO EMS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.