Worth County Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WORTH COUNTY AMBULANCE SERVICE

Practice address

503 East 4TH Street
Grant City, MO 64456

Phone

(660) 786-2351

NPI assigned

Sep 8, 2006

Last updated

May 7, 2008By 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

Beverly A Morin

Title

Sec Treas

Phone

(660) 786-2351

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1053415265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "64456",
            "telephone_number": "660-786-2351",
            "fax_number": "660-786-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EAST 4TH STREET",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "64456",
            "telephone_number": "660-786-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTH COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "660-786-2351"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801352204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27766015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Health Services Inc (Worth County R-III SBHC)
• Northwest Medical Center Association, Inc (Mosaic Family Care Grant City)
• Sherris Pharmacy Service (Sherri's Pharmacy Services)
• Allison R. Thorn, FNP
• Brian D Vierthaler, DDS
• Worth County Nursing Home District (Worth County Convalescent Center)
• Worth County Riii School District

• Land Ambulance in Grant City, MO
• Providers in Grant City, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.