Active NPI
Sweet Springs Ambulance District
- Land Ambulance
- Sweet Springs, MO
National Provider Identifier
1528063138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 195022
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111118000277 | MO | Part B Supplier - Ambulance Service Supplier | 5991979486 | Practice locations: Sweet Springs, MO |
National Provider Directory
National Provider DirectoryLocations
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.