NPIMap

Organization Active NPI

Caldwell County Ambulance District

  • Public Health or Welfare Agency
  • Kingston, MO
National Provider Identifier
1457267197
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CALDWELL COUNTY AMBULANCE DISTRICT
Practice address
480 S Washington St
Kingston, MO 64650-5502
Phone
(816) 586-3801
NPI assigned
Aug 21, 2026
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CALDWELL COUNTY AMBULANCE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Johnna Sue Grooms
Title
Director
Phone
(816) 586-3801

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146E00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

480 S Washington St
Kingston, MO 64650-5502

Mailing address

480 S Washington St
Kingston, MO 64650-5502
Phone (816) 586-3801

Other identifiers 1

IdentifierTypeStateIssuer
800461907MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Caldwell County Amb Ser2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1457267197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S WASHINGTON ST",
            "city": "KINGSTON",
            "state": "MO",
            "postal_code": "646505502",
            "telephone_number": "816-586-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S WASHINGTON ST",
            "city": "KINGSTON",
            "state": "MO",
            "postal_code": "646505502",
            "telephone_number": "816-586-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL COUNTY AMBULANCE DISTRICT",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "GROOMS",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-586-3801"
    },
    "taxonomies": [
        {
            "code": "146E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800461907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.