Organization Active NPI

Audrain Ambulance District

  • Land Ambulance
  • Mexico, MO
National Provider Identifier
1487987731
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
007005 Issued in MO
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

Updated by the provider on Apr 16, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800328106MedicaidMO
P00805286OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000340 MO Part B Supplier - Ambulance Service Supplier 3971641739 Practice locations: Laddonia, MO; Mexico, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.