Pettis County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

159035 Issued in MO

Legal business name

PETTIS COUNTY AMBULANCE DISTRICT

Practice address

210 W 4TH St
Sedalia, MO 65301

Phone

(660) 829-0777

Fax

(660) 829-0668

NPI assigned

Apr 2, 2013

Organization subpart

No

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

Authorized official

Name

Amy Beth Hunter

Title

Patient Accounts

Phone

(660) 829-4046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1013250620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021383",
            "telephone_number": "660-829-0777",
            "fax_number": "660-829-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 4TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-829-0777",
            "fax_number": "660-829-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTIS COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "660-829-4046"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "159035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Perez
• Rodingson Ramos Perez, P.T.
• Perusich Chiropractic Associates, LLC (Backbone of Health)
• Michael R Perusich, DC
• Andrea Nicole Petersen, DNP, FNP
• Pettis County Assisted Living, L.L.C.
• Pettis County Board of Services for the Developmentally Disabled
• Pettis County Health Center
• Pettis Emergency Group LLC
• Pettis Physician Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.