New Madrid County Ambulance District
Organization Active NPI Land Ambulance · New Madrid, MO
NPI 1316917263 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1316917263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 143006 (MO)
- Legal business name
- NEW MADRID COUNTY AMBULANCE DISTRICT
- Practice address
- 340 US Highway 61
New Madrid, MO 63869-9753 - Phone
- (573) 748-5571
- Fax
- (573) 748-8900
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Patrick Garrison
- Title
- Director
- Phone
- (573) 748-5571
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1062692 | New Madrid County Ambulance District | Certificate of waiver | Dec 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070109000003 | MO | Part B Supplier - Ambulance Service Supplier | 2163422510 | Practice locations: New Madrid, MO; Parma, MO; Portageville, MO; Sikeston, MO |
National Provider Directory
Locations
340 US Highway 61
New Madrid, MO 63869
Phone (573) 748-2270
445 Main St
New Madrid, MO 63869
Phone (573) 748-5571
307 Baker Ave
Portageville, MO 63873
Phone (573) 391-2005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 143006 | MO | Yes |
Addresses
Primary practice location
340 US Highway 61
New Madrid, MO 63869-9753
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 305-5236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29787 | Other | MO | BCBS |
| 800547713 | Medicaid | MO |
Other providers in New Madrid, MO
- Tricia Lynn McClarty
- Missouri Delta Medical Center
- Sharon K Musgraves
- N & R of New Madrid LLC
- Kristen Nelson
- New Madrid County Health Dept
- New Madrid County R-1 School District
- New Madrid Pharmacy Inc
- Pemiscot County Memorial Hospital
- Personal Touch
All providers in New Madrid, MO · Land Ambulance in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.