Mid-Mo Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

135038 Issued in MO

Legal business name

MID-MO AMBULANCE DISTRICT

Practice address

221 S Moreau Ave
Tipton, MO 65081-8257

Phone

(660) 433-6466

Fax

(660) 433-6469

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda West

Title

Office Manager

Phone

(660) 433-6466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124235866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "TIPTON",
            "state": "MO",
            "postal_code": "650810698",
            "telephone_number": "660-433-6466",
            "fax_number": "660-433-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MOREAU AVE",
            "city": "TIPTON",
            "state": "MO",
            "postal_code": "650818257",
            "telephone_number": "660-433-6466",
            "fax_number": "660-433-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MO AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-433-6466"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "135038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Jackson
• Caleb Johnsen, DDS
• Jordyn Knipp
• Sarah Jane Knipp, MS CCC SLP
• Joanne Marie Koechner
• Janet Marie Miller, MS CCC-SLP
• N & R of Tipton, LLC (Tipton Oak Manor)
• Christopher Aaron Paynter, D.O., M.S.
• School District R 6 Tipton
• SSM Regional Health Services

• Ambulance in Tipton, MO
• Providers in Tipton, MO by specialty
• Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.