East Carter County Volunteer Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4595 Issued in MO

Legal business name

EAST CARTER COUNTY VOLUNTEER AMBULANCE

Practice address

RT. 2 Box 2004
South Side Hwy. a at West City Limits
Ellsinore, MO 63937-0160

Phone

(573) 322-8303

Fax

(573) 322-8303

NPI assigned

Jun 13, 2007

Last updated

Mar 13, 2012By 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

Ms. Erma E Duckett, PARAMEDIC

Title

Bookkeeper Crew Chief

Phone

(573) 322-8303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1194929240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "RT.2 BOX 2004",
            "city": "ELLSINORE",
            "state": "MO",
            "postal_code": "639370160",
            "telephone_number": "573-322-8303",
            "fax_number": "573-322-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 2 BOX 2004",
            "address_2": "SOUTH SIDE HWY. A AT WEST CITY LIMITS",
            "city": "ELLSINORE",
            "state": "MO",
            "postal_code": "639370160",
            "telephone_number": "573-322-8303",
            "fax_number": "573-322-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CARTER COUNTY VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "ERMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BOOKKEEPER  CREW CHIEF",
        "authorized_official_telephone_number": "573-322-8303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "4595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800628109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Deann Cornelison, FNP-BC
• Country Care Family Clinic, LLC
• Denise Lynn Crane, M.A., CCC-SLP
• Cody W. Davis, DO
• John L Dowdy
• Endeavor Home Care LLP
• Heartland Community Skills Center
• Cherish Maxwell
• Brenda Ann McGehee, FNP-C
• Hailey Myers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.