Organization Active NPI

North Scott County Ambulance District

  • Land Ambulance
  • Scott City, MO
National Provider Identifier
1265594485
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
201031 Issued in MO
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

Updated by the provider on Aug 31, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120306000598 MO Part B Supplier - Ambulance Service Supplier 6204095508 Practice locations: Scott City, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0917450North Scott County Ambulance District28825 US Highway 61, Scott City, MO 63780Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.