Adair County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

001015 Issued in MO

Legal business name

ADAIR COUNTY AMBULANCE DISTRICT

Practice address

606 W Potter Ave
Kirksville, MO 63501-1168

Phone

(660) 665-0000

Fax

(660) 665-2775

NPI assigned

Jul 11, 2005

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Lee Probst, PARAMEDIC

Title

Director of Patient Billing

Phone

(660) 665-0000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Adair County Ambulance District

  • Public Health or Welfare Agency
  • Kirksville, MO
  • NPI 1487567855
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1003814328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W POTTER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011168",
            "telephone_number": "660-665-0000",
            "fax_number": "660-665-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W POTTER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011168",
            "telephone_number": "660-665-0000",
            "fax_number": "660-665-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT BILLING",
        "authorized_official_telephone_number": "660-665-0000",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "001015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29673",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802215301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Abbas, DO
• Susan H Abrahams, MA, NCC, LPC
• Academic Medicine
• Achimbi Enterprises, L.L.C.
• Nicholas Evan Ackerley
• Adair County Ambulance District
• Adair County Health Dept
• Adair County Health Dept (Adair County Health Department/Home Health Agency)
• Adair County Nursing Home District (Twin Pines Adult Care Center)
• Adair County SB40 Developmental Disability Board

• Land Ambulance in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.