Warsaw-Lincoln Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

015016 Issued in MO

Legal business name

WARSAW-LINCOLN AMBULANCE DISTRICT

Practice address

1206 Medic
Warsaw, MO 65355

Phone

(660) 438-2550

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Gardner

Title

Manager

Phone

(660) 438-2550

Specialties & licenses 1

Addresses

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1609803097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1252",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653551252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MEDIC",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "65355",
            "telephone_number": "660-438-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW-LINCOLN AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-438-2550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "015016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy J Vaughn, LPN
• Angela Denise Vaugier, MACCC-SLP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0250)
• Kristin Warren, OTR
• Warsaw R-IX
• Katherine Ann Wendel, LPN
• Cassandra White, DO
• Robert Wilkins
• Micki L Williams, RPT
• Kristin K Yach, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.