Active NPI
Oregon County Ambulance District
- Land Ambulance
- Thayer, MO
National Provider Identifier
1154617579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- OREGON COUNTY AMBULANCE DISTRICT
- Practice address
- 722 West Walnut St
Thayer, MO 65791-1277 - Phone
- (417) 264-2145
- Fax
- (888) 965-4620
- NPI assigned
- Jun 23, 2011
- Last updated
- May 13, 2020
- 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
- Kenneth McKenzie
- Title
- Executive Director
- Phone
- (417) 264-2145
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 149012 | MO | |
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
722 West Walnut St
Thayer, MO 65791-1277
Mailing address
PO Box 163
Thayer, MO 65791
Phone (319) 291-4279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130429000660 | MO | Part B Supplier - Ambulance Service Supplier | 6103062674 | Practice locations: Alton, MO; Thayer, MO |
National Provider Directory
National Provider DirectoryLocations
722 Walnut St
Thayer, MO 65791
Phone (417) 264-2145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1154617579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "THAYER",
"state": "MO",
"postal_code": "65791",
"telephone_number": "319-291-4279",
"fax_number": "888-965-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 WEST WALNUT ST",
"city": "THAYER",
"state": "MO",
"postal_code": "657911277",
"telephone_number": "417-264-2145",
"fax_number": "888-965-4620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON COUNTY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "417-264-2145"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "149012",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thayer, MO
- Sheila Jo Marler, APRN
- Mill Creek Supportive Care LLC
- Celsie Morrow, MCD, CCC-SLP
- Moving Mountains Therapies LLC
- Newton's Group Home of Thayer, Inc.
- Ozarks Medical Center (Ozarks Healthcare Pharmacy Thayer)
- Ozarks Medical Center (Ozarks Healthcare Thayer)
- Ozarks Medical Center (Oregon County Ambulance)
- Samir P Patel, DMD
- Scott R. Ream, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.