Iron County EMS
Organization Active NPI Land Ambulance · Viburnum, MO
NPI 1386868032 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1386868032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 093017 (MO)
- Legal business name
- IRON COUNTY EMS
- Practice address
- 15 Vine Street
Viburnum, MO 65566 - Phone
- (573) 244-5966
- Fax
- (573) 244-5959
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Johnny R Setzer, EMT PARAMEDIC
- Title
- Manager
- Phone
- (573) 244-5966
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 093017 | MO | Yes |
Addresses
Primary practice location
15 Vine Street
Viburnum, MO 65566
Mailing address
PO Box 331
15 Vine Street
Viburnum, MO 65566-0331
Phone (573) 244-5966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800551608 | Medicaid | MO | |
| 1386868032 | Medicaid | MO |
Other providers in Viburnum, MO
- C&P Viburnum Ventures LLC
- Disabled Citizens Alliance for Independence
- Disabled Citizens Alliance for Independence
- Disabled Citizens Alliance for Independence Foundation, Inc
- Iron County C-4 School District
- Lester E Cox Medical Centers
- Mma Healthcare of Viburnum, Inc.
- Theodore Joshua Olbricht
- Deana Payne
- Linda Sue Pyatt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.