North Harrison Co Amb
Organization Active NPI Ambulance · Eagleville, MO
NPI 1043330459 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1043330459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 081027 (MO)
- Legal business name
- NORTH HARRISON CO AMB
- Practice address
- 10030 10TH St.
Eagleville, MO 64442 - Phone
- (660) 867-3340
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Verna Osborn
- Title
- Manager
- Phone
- (660) 867-3340
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 081027 | MO | Yes |
Addresses
Primary practice location
10030 10TH St.
Eagleville, MO 64442
Mailing address
PO Box 218
Eagleville, MO 64442-0218
Phone (660) 867-3340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3021-7011 | Other | MO | BLUE CROSS BLUE SHIELD |
| 967505 | Medicaid | IA | |
| 800462400 | Medicaid | MO | |
| 8211615 | Medicaid | MN | |
| 121216715 | Medicaid | AR |
Other providers in Eagleville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.