Andrew County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

003018 Issued in MO

Legal business name

ANDREW COUNTY AMBULANCE DISTRICT

Practice address

206 N 3Rd St
Savannah, MO 64485-1422

Phone

(816) 324-3341

Fax

(816) 324-6467

NPI assigned

Mar 29, 2007

Last updated

Apr 2, 2019By 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

Blake Rudel

Title

Director

Phone

(816) 897-0549

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1356460273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N 3RD ST",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644851422",
            "telephone_number": "816-324-3341",
            "fax_number": "816-324-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "RUDEL",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-897-0549"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "003018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243450A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802605600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08215015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125283715",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Hope Aderton, LMSW
• Advantage Pharmacy, LLC
• Andrew County Health Department
• Andrew County Nursing Home District (Abundant Acres Care & Rehab)
• Anew Healthcare Operations - Savannah, LLC (Anew Healthcare Savannah)
• Anne Marie Barr, RPH
• Bky Healthcare of Savannah, Inc.

• Ambulance in Savannah, MO
• Providers in Savannah, MO by specialty
• Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.