Ralls County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

173002 Issued in MO

Legal business name

RALLS COUNTY AMBULANCE DISTRICT

Practice address

3120 North Hwy. 61
Hannibal, MO 63401-6571

Phone

(573) 221-2117

Fax

(573) 221-5004

NPI assigned

Sep 28, 2006

Last updated

Feb 22, 2019By 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

John Nemes

Title

Administrator

Phone

(573) 221-5510

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1528150745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JAYCEE DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013673",
            "telephone_number": "573-221-2117",
            "fax_number": "573-221-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 NORTH HWY. 61",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016571",
            "telephone_number": "573-221-2117",
            "fax_number": "573-221-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALLS COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "NEMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-221-5510"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "173002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015245",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.