Organization Active NPI

Nodaway County Ambulance District

  • Ambulance
  • Maryville, MO
National Provider Identifier
1477591030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
147001 Issued in MO
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800551707MedicaidMO
03676015OtherMOBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100220000330 MO Part B Supplier - Ambulance Service Supplier 8022152644 Practice locations: Maryville, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0919689Nodaway County Ambulance District103 Carefree Drive, Maryville, MO 64468Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.