Organization Active NPI

Johnson County Missouri Ambulance

  • Land Ambulance
  • Warrensburg, MO
National Provider Identifier
1073554861
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101061 Issued in MO
Legal business name
JOHNSON COUNTY MISSOURI AMBULANCE
Practice address
500 E Young Ave
Warrensburg, MO 64093-1200
Phone
(660) 747-5735
Fax
(660) 212-0035
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Teri Ogega
Title
Administrative Coordinator
Phone
(660) 747-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101061 MO Primary

Addresses

Primary practice location

500 E Young Ave
Warrensburg, MO 64093-1200

Mailing address

500 E Young Ave
Warrensburg, MO 64093-1200
Phone (660) 747-5735

Other identifiers 2

IdentifierTypeStateIssuer
32321017OtherMOBLUE CROSS BLUE SHIELD
806097408MedicaidMO

Other names 1

  • Johnson County Ambulance District Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000568 MO Part B Supplier - Ambulance Service Supplier 1052316007 Practice locations: Holden, MO; Knob Noster, MO; Warrensburg, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1012316Johnson County Ambulance District500 E Young Ave, Warrensburg, MO 64093Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

707 W 2nd St
Holden, MO 64040
Phone (660) 747-5735

1360 NW 565th Rd
Holden, MO 64040
Phone (607) 747-5735

2342 W Irish Ln
Knob Noster, MO 65336
Phone (660) 747-5735

1601 Corporate Dr
Warrensburg, MO 64093
Phone (660) 747-5735

263 SE State Route 13
Warrensburg, MO 64093
Phone (660) 747-5735

500 E Young Ave
Warrensburg, MO 64093
Phone (660) 747-5735

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1073554861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931200",
            "telephone_number": "660-747-5735",
            "fax_number": "660-212-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931200",
            "telephone_number": "660-747-5735",
            "fax_number": "660-212-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY MISSOURI AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "OGEGA",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "660-747-5735"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "101061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32321017",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806097408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson County Ambulance District",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Johnson County Ambulance District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.