Vernon County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

217034 Issued in MO

Legal business name

VERNON COUNTY AMBULANCE DISTRICT

Practice address

515 E Walnut St
Nevada, MO 64772-2630

Phone

(417) 667-5079

Fax

(417) 667-6097

NPI assigned

Jan 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James McKenzie, EMT

Title

Director

Phone

(417) 667-5079

Specialties & licenses 1

Addresses

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": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346229499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E WALNUT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722630",
            "telephone_number": "417-667-5079",
            "fax_number": "417-667-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E WALNUT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722630",
            "telephone_number": "417-667-5079",
            "fax_number": "417-667-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-667-5079",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "217034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Tuck, LPC
• Jeremy David Turk
• Charolette D Turner, CCC-SLP
• William A Turner, MD
• Kamryn Ungeheuer, RDH
• Vernon County Health Department
• Vernon Emergency Group LLC
• Brittany Vogt, PLBA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0034)
• Wal-Mart Stores East, LP (Vision Center 30-0034)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.