Organization Active NPI

Ripley County Ambulance District

  • Land Ambulance
  • Doniphan, MO
National Provider Identifier
1164548509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
181021 Issued in MO
Legal business name
RIPLEY COUNTY AMBULANCE DISTRICT
Practice address
1003 Walnut St
Doniphan, MO 63935-1337
Phone
(573) 996-7551
Fax
(573) 996-1984
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bill Jenkins
Title
Chairman - Board of Directors
Phone
(573) 996-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 181021 MO Primary

Addresses

Primary practice location

1003 Walnut St
Doniphan, MO 63935-1337

Mailing address

1003 Walnut St
Doniphan, MO 63935-1337
Phone (573) 996-7551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000132 MO Part B Supplier - Ambulance Service Supplier 7810093127 Practice locations: Doniphan, 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
26D1066719Ripley County Ambulance District1003 Walnut Street, Doniphan, MO 63935Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

1003 Walnut St
Doniphan, MO 63935
Phone (573) 996-7551

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164548509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WALNUT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351337",
            "telephone_number": "573-996-7551",
            "fax_number": "573-996-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WALNUT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351337",
            "telephone_number": "573-996-7551",
            "fax_number": "573-996-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPLEY COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHAIRMAN - BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "573-996-7551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "181021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, MO

Sources for this page

  • 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.