Active NPI
Nodaway County Ambulance District
- Ambulance
- Maryville, MO
National Provider Identifier
1477591030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 147001
- Legal business name
- NODAWAY COUNTY AMBULANCE DISTRICT
- Practice address
- 103 Carefree PL
Maryville, MO 64468-3628 - Phone
- (660) 582-3311
- Fax
- (660) 582-3728
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. William P Florea, EMT-P
- Title
- Operations Director
- Phone
- (660) 582-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 147001 | MO | Primary |
Addresses
Primary practice location
103 Carefree PL
Maryville, MO 64468-3628
Mailing address
103 Carefree PL
Maryville, MO 64468-3628
Phone (660) 582-3311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800551707 | Medicaid | MO | |
| 03676015 | Other | MO | BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100220000330 | MO | Part B Supplier - Ambulance Service Supplier | 8022152644 | Practice locations: Maryville, 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 |
|---|---|---|---|
| 26D0919689 | Nodaway County Ambulance District | Certificate of waiver | Sep 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
103 Carefree Dr
Maryville, MO 64468
Phone (660) 582-3311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477591030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CAREFREE PL",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644683628",
"telephone_number": "660-582-3311",
"fax_number": "660-582-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CAREFREE PL",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644683628",
"telephone_number": "660-582-3311",
"fax_number": "660-582-3728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NODAWAY COUNTY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLOREA",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "660-582-3311",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "147001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800551707",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "03676015",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
- N & R of Maryville LLC (Maryville Living Center)
- Margaret Rose Nelson, MS, LPC, LCSW
- New Beginnings Counseling Group (New Beginnings Counseling Center)
- New Beginnings Counseling Group Inc. (New Beginnings Counseling Center)
- Nathan Eugene Noakes, LCSW
- Nodaway County Health Center
- Nodaway County Services for the Developmentally Disabled, Inc.
- Nodaway County Services for the Developmentally Disabled, Inc.
- Nodaway Healthcare LLC (Nodaway Nursing Home)
- Nodaway Physician Services, LLC
Sources for this page
- 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.