Carroll County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

033014 Issued in MO

Legal business name

CARROLL COUNTY AMBULANCE DISTRICT

Practice address

603 N Mason St
Carrollton, MO 64633-2252

Phone

(660) 542-1808

Fax

(660) 542-1072

NPI assigned

Aug 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sheri Clavin, EMTP

Title

Administrator

Phone

(660) 542-1808

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": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508859331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N MASON ST",
            "address_2": "P.O. BOX 511",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646332252",
            "telephone_number": "660-542-1808",
            "fax_number": "660-542-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N MASON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646332252",
            "telephone_number": "660-542-1808",
            "fax_number": "660-542-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAVIN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-542-1808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "033014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Eugene Bliss, DC
• Board of Expanded Services (Five Acres Group Home)
• Brian Bree, M.D.
• Bristol Care, Inc.
• Carroll Cnty Mem Hosp Pharmacy Inc (Carroll County Mem Hosp Phcy)
• Carroll County Health Department
• Carroll County Hospital Phtysicians
• Carroll County Medical Clinic
• Carroll County Memorial Hospital (Carroll County Memorial Hospital Home Health Care Agency)
• Carroll County Memorial Hospital

• Ambulance in Carrollton, MO
• Providers in Carrollton, MO by specialty
• 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.