Organization Active NPI

Rural-Metro Mid-South LP

  • Ambulance
  • Poplar Bluff, MO
National Provider Identifier
1083776686
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
023086 Issued in MO
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

Updated by the provider on Apr 25, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
806328407MedicaidMO

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.