Ste. Genevieve County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

193020 Issued in MO

Legal business name

STE. GENEVIEVE COUNTY AMBULANCE DISTRICT

Practice address

3 Basler Dr
Ste Genevieve, MO 63670-1679

Phone

(573) 883-7000

Fax

(573) 883-9886

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kendall W Shrum, EMT-P

Title

Administrator

Phone

(573) 883-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477537579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636700401",
            "telephone_number": "573-883-7000",
            "fax_number": "573-883-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BASLER DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701679",
            "telephone_number": "573-883-7000",
            "fax_number": "573-883-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STE. GENEVIEVE COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRUM",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-883-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "193020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ste Genevieve County Memorial Hospital
• Ste Genevieve County Memorial Hospital SG MH Pharmacy
• Ste Genevieve Group Home Inc.
• Ste Genevieve Residential, LLC
• Ste. Genevieve Care Center, Inc
• Ste. Genevieve County Board for the Developmentally Disabled
• Ste. Genevieve County Memorial Hospital
• Ste. Genevieve Group Home, Inc.
• Strides Case Management
• Lynnette Marie Suiter, PT

• All providers in Ste Genevieve, MO
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.