Organization Active NPI

Lake Ozark Fire Protection District

  • Land Ambulance
  • Lake Ozark, MO
National Provider Identifier
1083740245
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149628OtherMOBLUE CROSS BLUE SHIELD OF
805456100MedicaidMO
HEALTHLINKOtherMOHEALTHLINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000426 MO Part B Supplier - Ambulance Service Supplier 2466508809 Practice locations: Lake Ozark, 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
26D0987290Lake Ozark Fire Protection District1767 Bagnell Dam Blvd, Lake Ozark, MO 65049Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.