Organization Active NPI

Monroe City Ambulance District

  • Land Ambulance
  • Monroe City, MO
National Provider Identifier
1386642312
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MONROE CITY AMBULANCE DISTRICT
Practice address
225 5TH St
Monroe City, MO 63456-1341
Phone
(573) 735-4112
Fax
(573) 735-2747
NPI assigned
Jul 13, 2005
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Blair D Joiner
Title
Administrator, Paramedic
Phone
(573) 735-4112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 137014 MO
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

225 5TH St
Monroe City, MO 63456-1341

Mailing address

225 5TH St
Monroe City, MO 63456-1341
Phone (573) 735-4112

Other identifiers 1

IdentifierTypeStateIssuer
801137001MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000595 MO Part B Supplier - Ambulance Service Supplier 0143496273 Practice locations: Monroe 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
26D0966472Monroe City Ambulance District225 5TH Street, Monroe City, MO 63456Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

225 5th St
Monroe City, MO 63456
Phone (573) 735-4112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1386642312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 5TH ST",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "634561341",
            "telephone_number": "573-735-4112",
            "fax_number": "573-735-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 5TH ST",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "634561341",
            "telephone_number": "573-735-4112",
            "fax_number": "573-735-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE CITY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR, PARAMEDIC",
        "authorized_official_telephone_number": "573-735-4112"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MO",
            "license": "137014",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801137001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.