Newton County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

145009 Issued in MO

Legal business name

NEWTON COUNTY AMBULANCE DISTRICT

Practice address

1011 W Hill St
Neosho, MO 64850

Phone

(417) 451-5568

Fax

(417) 451-5573

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Russell Tinnney, PARAMEDIC

Title

Administrator

Phone

(417) 451-5568

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1194792861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W HILL ST",
            "address_2": "PO BOX 60",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648500060",
            "telephone_number": "417-451-5568",
            "fax_number": "417-451-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W HILL ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "64850",
            "telephone_number": "417-451-5568",
            "fax_number": "417-451-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W Hill St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648500060",
            "country_code": "US",
            "telephone_number": "417-451-5568",
            "fax_number": "417-451-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEWTON COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "TINNNEY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-451-5568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "145009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8004642008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Neosho, MO
• Providers in Neosho, MO by specialty
• Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.