Active NPI
Rural-Metro Mid-South LP
- Ambulance
- Poplar Bluff, MO
National Provider Identifier
1083776686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 023086
- Legal business name
- RURAL-METRO MID-SOUTH LP
- Practice address
- 414 N 5TH St
Poplar Bluff, MO 63901-5126 - Phone
- (573) 686-1000
- Fax
- (573) 686-6877
- NPI assigned
- Dec 14, 2006
- 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
- Edward Van Horne
- Title
- President & Ceo
- Phone
- (682) 227-6078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 023086 | MO | Primary |
Addresses
Primary practice location
414 N 5TH St
Poplar Bluff, MO 63901-5126
Mailing address
PO Box 731048
Dallas, TX 75373-1048
Phone (800) 889-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806328407 | Medicaid | MO |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
414 N 5th St
Poplar Bluff, MO 63901
Phone (573) 686-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461542400000",
"number": "1083776686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731048",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731048",
"telephone_number": "800-889-1581",
"fax_number": "317-781-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N 5TH ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015126",
"telephone_number": "573-686-1000",
"fax_number": "573-686-6877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL-METRO MID-SOUTH LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2016-04-25",
"status": "A",
"authorized_official_last_name": "VAN HORNE",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "682-227-6078"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "023086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806328407",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.