Organization Active NPI

Sweet Springs Ambulance District

  • Land Ambulance
  • Sweet Springs, MO
National Provider Identifier
1528063138
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
195022 Issued in MO
Legal business name
SWEET SPRINGS AMBULANCE DISTRICT
Practice address
211 W Ray St
Sweet Springs, MO 65351-1352
Phone
(660) 335-4852
Fax
(660) 335-4515
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mr. Carl W Webb, EMT-P
Title
Executive Director
Phone
(660) 335-4852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 195022 MO Primary

Addresses

Primary practice location

211 W Ray St
Sweet Springs, MO 65351-1352

Mailing address

211 W Ray St
Sweet Springs, MO 65351-1352
Phone (660) 335-4852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000277 MO Part B Supplier - Ambulance Service Supplier 5991979486 Practice locations: Sweet Springs, MO

National Provider Directory

National Provider Directory

Locations

211 W Ray St
Sweet Springs, MO 65351
Phone (660) 335-4852

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1528063138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W RAY ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511352",
            "telephone_number": "660-335-4852",
            "fax_number": "660-335-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W RAY ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511352",
            "telephone_number": "660-335-4852",
            "fax_number": "660-335-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SPRINGS AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-335-4852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "195022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.