Big River Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

099066 Issued in MO

Legal business name

BIG RIVER AMBULANCE DISTRICT

Practice address

6327 Lorens LN
Cedar Hill, MO 63016-2243

Phone

(636) 274-3964

Fax

(636) 274-3652

NPI assigned

Jul 10, 2006

Last updated

Mar 11, 2025By 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

Scott Alan Fisher

Title

Chief

Phone

(636) 274-3964

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1174556146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630160348",
            "telephone_number": "636-274-3964",
            "fax_number": "636-274-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 LORENS LN",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162243",
            "telephone_number": "636-274-3964",
            "fax_number": "636-274-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG RIVER AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "636-274-3964"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "099066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Kristine Baalman, MD
• Big River Nursing & Rehabilitation Center LLC
• Dale J Brewer, D.O.
• Lanna Roberta Brickhaus
• Kristen Brown, MD
• Douglas Anthony Carano, DDS

• Land Ambulance in Cedar Hill, MO
• Providers in Cedar Hill, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.