Lincoln County Amb Dist

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

LINCOLN COUNTY AMB DIST

Practice address

1392 S 3Rd St
Troy, MO 63379-2706

Phone

(636) 295-2186

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LINCOLN COUNTY AMB DISTAs reported in NPPES

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

Authorized official

Name

Raymond Antonacci

Title

Chief Administrator

Phone

(636) 528-8488

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Lincoln County Amb Dist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lincoln County Amb Dist

  • Land Ambulance
  • Troy, MO
  • NPI 1063419620
  NPD tax ID

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1194636761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790157",
            "telephone_number": "636-295-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 S 3RD ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792706",
            "telephone_number": "636-295-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY AMB DIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN COUNTY AMB DIST",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ANTONACCI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "636-528-8488"
    },
    "taxonomies": [
        {
            "code": "146E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800459802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Restoration Center
• Madysen Taylar Lilley, FNP-BC
• Lincare Inc.
• Adrienne Linck
• Lincoln County Amb Dist
• Lincoln County Chiropractic LLC
• Lincoln County Health Department
• Lincoln County Medicine & Pediatrics, LLC
• Lincoln County Memorial Hospital (Lincoln County Medical Center Home Care)
• Lincoln County Memorial Hospital (Troy Family Practice)

• Public Health or Welfare Agency in Troy, MO
• Providers in Troy, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.