Active NPI
North Scott County Ambulance District
- Land Ambulance
- Scott City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 201031
- Legal business name
- NORTH SCOTT COUNTY AMBULANCE DISTRICT
- Practice address
- 28825 US Highway 61
Scott City, MO 63780-9137 - Phone
- (573) 887-6311
- Fax
- (573) 264-2881
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Chasteen
- Title
- Administrator
- Phone
- (573) 887-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 201031 | MO | Primary |
Addresses
Primary practice location
28825 US Highway 61
Scott City, MO 63780-9137
Mailing address
28825 US Highway 61
Scott City, MO 63780-9137
Phone (573) 887-6311
Other practice location 1
11551 State Highway 77
Chaffee, MO 63740-9184
Phone (573) 887-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000598 | MO | Part B Supplier - Ambulance Service Supplier | 6204095508 | Practice locations: Scott City, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0917450 | North Scott County Ambulance District | Certificate of waiver | Jul 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
11551 State Highway 77
Chaffee, MO 63740
Phone (573) 887-6311
28825 US Highway 61
Scott City, MO 63780
Phone (573) 887-6311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Basic Emergency Medical Technician
- Scott City, MO
- NPI 1528928785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1265594485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28825 US HIGHWAY 61",
"city": "SCOTT CITY",
"state": "MO",
"postal_code": "637809137",
"telephone_number": "573-887-6311",
"fax_number": "573-264-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28825 US HIGHWAY 61",
"city": "SCOTT CITY",
"state": "MO",
"postal_code": "637809137",
"telephone_number": "573-887-6311",
"fax_number": "573-264-2881"
}
],
"practiceLocations": [
{
"address_1": "11551 State Highway 77",
"address_purpose": "LOCATION",
"city": "Chaffee",
"state": "MO",
"postal_code": "637409184",
"country_code": "US",
"telephone_number": "573-887-6311",
"fax_number": "573-887-3014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH SCOTT COUNTY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "CHASTEEN",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-887-6311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "201031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scott City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.