Ripley County Ambulance District
Organization Active NPI Land Ambulance · Doniphan, MO
NPI 1164548509 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164548509
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 181021 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Bill Jenkins
- Title
- Chairman - Board of Directors
- Phone
- (573) 996-7551
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1066719 | Ripley County Ambulance District | Certificate of waiver | Mar 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070503000132 | MO | Part B Supplier - Ambulance Service Supplier | 7810093127 | Practice locations: Doniphan, MO |
National Provider Directory
Locations
1003 Walnut St
Doniphan, MO 63935
Phone (573) 996-7551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 181021 | MO | Yes |
Addresses
Primary practice location
1003 Walnut St
Doniphan, MO 63935-1337
Mailing address
1003 Walnut St
Doniphan, MO 63935-1337
Phone (573) 996-7551
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.