Marion County Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

127001 Issued in MO

Legal business name

MARION COUNTY AMBULANCE

Practice address

3120 Highway 61
Hannibal, MO 63401-6571

Phone

(573) 221-2117

Fax

(573) 221-5004

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

John Nemes

Title

Administrator

Phone

(573) 221-5510

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1013009331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JAYCEE DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013673",
            "telephone_number": "573-221-2117",
            "fax_number": "573-221-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 HIGHWAY 61",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016571",
            "telephone_number": "573-221-2117",
            "fax_number": "573-221-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "NEMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-221-5510"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "127001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800551301",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000048022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Majors
• James Keith Mann, M.D.
• Santhosh Reddy Mannem, MD
• Laura D Maple, M.D.
• Kevin M Marberry, MD
• Marion County Health Dept & Home Health Agency
• Marion County Health Dept & Home Health Agency
• Marion County Health Dept & Home Health Agency
• Marion County Health Dept & Home Health Agency
• Marion County Health Dept & Home Health Agency

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.