Active NPI
Audrain Ambulance District
- Land Ambulance
- Mexico, MO
National Provider Identifier
1487987731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 007005
- Legal business name
- AUDRAIN AMBULANCE DISTRICT
- Practice address
- 440 Kelley Pkwy
Mexico, MO 65265-3814 - Phone
- (573) 581-1722
- Fax
- (573) 581-1724
- NPI assigned
- Sep 17, 2009
- 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
- Josh Loyd
- Title
- Admin
- Phone
- (573) 581-1722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 007005 | MO | Primary |
Addresses
Primary practice location
440 Kelley Pkwy
Mexico, MO 65265-3814
Mailing address
440 Kelley Pkwy
Mexico, MO 65265-3814
Phone (573) 581-1733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800328106 | Medicaid | MO | |
| P00805286 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091116000340 | MO | Part B Supplier - Ambulance Service Supplier | 3971641739 | Practice locations: Laddonia, MO; Mexico, MO |
National Provider Directory
National Provider DirectoryLocations
11266 Highway 54
#2
Laddonia, MO 63352
Phone (573) 567-4003
1 Veterans Way
Mexico, MO 65265
Phone (573) 581-1088
440 Kelley Pkwy
Mexico, MO 65265
Phone (573) 581-1722
Ownership & related parties
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.
-
- Public Health or Welfare Agency
- Mexico, MO
- NPI 1417864844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1487987731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653814",
"telephone_number": "573-581-1733",
"fax_number": "573-581-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653814",
"telephone_number": "573-581-1722",
"fax_number": "573-581-1724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDRAIN AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-17",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "LOYD",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "573-581-1722"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "007005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800328106",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00805286",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.