St. Francois County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

187011 Issued in MO

Legal business name

ST. FRANCOIS COUNTY AMBULANCE DISTRICT

Practice address

820 Electric St
Farmington, MO 63640-9215

Phone

(573) 756-6764

Fax

(576) 431-7014

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Heather Merritt

Title

Office Manager

Phone

(573) 756-6764

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• St. Francois County Ambulance District

  • Public Health or Welfare Agency
  • Farmington, MO
  • NPI 1033026968
  NPPES parent name

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1225048754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WALLACE RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ELECTRIC ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409215",
            "telephone_number": "573-756-6764",
            "fax_number": "576-431-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCOIS COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-756-6764"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "187011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800629909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perrin Spears, DNP, FNP-C
• Brooke Spradlin, MS, LPC
• Hungi P Sripal, M.D.
• Piyush Srivastava, MD
• St. Francois County Ambulance District
• St. Francois County Board for the Developmentally Disabled
• St. Francois County Board for the Developmentally Disabled
• St. Francois County Board for the Developmentally Disabled
• St. Francois Manor, Inc
• St. Louis JC Vamc

• Land Ambulance in Farmington, MO
• Providers in Farmington, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.