Active NPI
Lake Ozark Fire Protection District
- Land Ambulance
- Lake Ozark, MO
National Provider Identifier
1083740245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LAKE OZARK FIRE PROTECTION DISTRICT
- Practice address
- 1767 Bagnell Dam Blvd.
Lake Ozark, MO 65049-9734 - Phone
- (573) 365-3380
- Fax
- (573) 365-3758
- NPI assigned
- Feb 24, 2007
- Last updated
- Apr 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Hegel
- Title
- Deputy Chief
- Phone
- (573) 745-0049
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 46568 | MO | |
| Land Ambulance | 3416L0300X | Primary | ||
| Water Ambulance | 3416S0300X | 029050 | MO |
Addresses
Primary practice location
1767 Bagnell Dam Blvd.
Lake Ozark, MO 65049-9734
Mailing address
1767 Bagnell Dam Blvd
Lake Ozark, MO 65049-9734
Phone (573) 365-3380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149628 | Other | MO | BLUE CROSS BLUE SHIELD OF |
| 805456100 | Medicaid | MO | |
| HEALTHLINK | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090925000426 | MO | Part B Supplier - Ambulance Service Supplier | 2466508809 | Practice locations: Lake Ozark, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0987290 | Lake Ozark Fire Protection District | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
1767 Bagnell Dam Blvd
Lake Ozark, MO 65049
Phone (573) 365-3380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1083740245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1767 BAGNELL DAM BLVD",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650499734",
"telephone_number": "573-365-3380",
"fax_number": "573-365-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 BAGNELL DAM BLVD.",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650499734",
"telephone_number": "573-365-3380",
"fax_number": "573-365-3758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE OZARK FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-24",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "HEGEL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DEPUTY CHIEF",
"authorized_official_telephone_number": "573-745-0049"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "46568",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416S0300X",
"taxonomy_group": "",
"desc": "Ambulance, Water Transport",
"state": "MO",
"license": "029050",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "149628",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805456100",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "HEALTHLINK",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ozark, MO
- Landon Lee Kirk, MSW, LCSW
- Kimberly Dawn Kucsik, LCSW
- Scott Kuenneke, MS, LPC, BCN
- Lake Convenience Clinic
- Lake Ozark Family Eyecare, Inc. (Family eyecare Associates)
- Lake Regional Health System (Lake Regional Clinic - Lake Ozark)
- Rodrick William Lekey, RN
- Dale A Lockhert, M.D.
- Teresa E Loney, PSY D
- Ronald Eric Massie, DDS, FAGD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.