Active NPI
Monroe City Ambulance District
- Land Ambulance
- Monroe City, MO
National Provider Identifier
1386642312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801137001 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111220000595 | MO | Part B Supplier - Ambulance Service Supplier | 0143496273 | Practice locations: Monroe City, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0966472 | Monroe City Ambulance District | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.