Rock Township Ambulance District
Organization Active NPI Land Ambulance · Barnhart, MO
NPI 1174735930 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1174735930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 099091 (MO)
- Legal business name
- ROCK TOWNSHIP AMBULANCE DISTRICT
- Practice address
- 6707 Saint Lukes Church Rd
Barnhart, MO 63012-1182 - Phone
- (636) 296-5066
- Fax
- (636) 296-8357
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Ello
- Title
- Office Manager
- Phone
- (636) 296-5066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040914000029 | MO | Part B Supplier - Ambulance Service Supplier | 7315914991 | Practice locations: Barnhart, MO; Arnold, MO; Imperial, MO; Fenton, MO |
National Provider Directory
Locations
1800 Lonedell Rd
Arnold, MO 63010
Phone (314) 296-5066
1800 Lonedell Rd
#1
Arnold, MO 63010
Phone (636) 296-5066
2455 Hickory Square Pkwy
Arnold, MO 63010
Phone (636) 296-5066
6707 Saint Lukes Church Rd
Barnhart, MO 63012
Phone (314) 296-5066
1501 Prehistoric Hill Dr
#3
Imperial, MO 63052
Phone (636) 296-5066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 099091 | MO | Yes |
Addresses
Primary practice location
6707 Saint Lukes Church Rd
Barnhart, MO 63012-1182
Mailing address
6707 Saint Lukes Church Rd
Barnhart, MO 63012-1182
Phone (636) 296-5066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801298704 | Medicaid | MO |
Other providers in Barnhart, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.