Randolph County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

175005 Issued in MO

Legal business name

RANDOLPH COUNTY AMBULANCE DISTRICT

Practice address

1366 E Highway 24
Moberly, MO 65270-3690

Phone

(660) 263-2267

Fax

(660) 263-7058

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Ashley Wienhaus

Title

Office Manager

Phone

(660) 263-2267

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1285624445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 E HIGHWAY 24",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703690",
            "telephone_number": "660-263-2267",
            "fax_number": "660-263-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 E HIGHWAY 24",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703690",
            "telephone_number": "660-263-2267",
            "fax_number": "660-263-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "WIENHAUS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-263-2267"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "175005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800627408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loy C Puckett, MD
• Angela Purdy, PTA
• R.L. Bautista, Inc.
• Jon P Rampton, DO
• Courtney Ramsey, NP
• Randolph County Caring Community, Inc
• Randolph County Developmental Disability Resources
• Randolph County Developmental Disability Services
• Randolph County Health Department
• Randolph County Health Department

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.