County of Cole

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

051039 Issued in MO

Legal business name

COUNTY OF COLE

Practice address

1736 Southridge Dr
Jefferson City, MO 65109-2046

Phone

(573) 634-9113

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Samual Bushman

Title

Presiding Commissioner

Phone

(573) 634-9113

Specialties & licenses 1

Addresses

Other names 1

• Cole County Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Cole

  • Public Health or Welfare Agency
  • Jefferson City, MO
  • NPI 1992878177

  9436217718

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Cole

  • Public Health or Welfare Agency
  • Jefferson City, MO
  • NPI 1992878177

  O20081015000717

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Cole3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• County of Cole

  • Public Health or Welfare Agency
  • Jefferson City, MO
  • NPI 1992878177
  NPD tax ID
• Michael W. Prenger Family Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Jefferson City, MO
  • NPI 1063659019
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• County of Cole

  • Public Health or Welfare Agency
  • Jefferson City, MO
  • NPI 1992878177
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica L Biddle

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1396859153
  NPD (past)
• Theresa C Phillips, MSN APRN, BC

  • Community Health Nurse Practitioner
  • Jefferson City, MO
  • NPI 1407952062
  NPD (past)
• Margaret Ann Wollen-Olson, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1831355809
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1407082746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E HIGH ST",
            "address_2": "ROOM 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013250",
            "telephone_number": "573-634-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 SOUTHRIDGE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092046",
            "telephone_number": "573-634-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "SAMUAL",
        "authorized_official_title_or_position": "PRESIDING COMMISSIONER",
        "authorized_official_telephone_number": "573-634-9113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "051039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cole County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cole County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Correctional Medical Imaging, Inc.
• Correctional Medical Imaging, Inc.
• Delia Silverio Costa, MD
• Elizabeth Christine Costello, COTA
• Erin Couch, LMSW
• County of Cole
• Covenant Integrative Wellness, LLC
• Covenant Pediatrics, LLC
• Tonya Cowan
• Drew Michael Cox, DO

• Land Ambulance in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.