Lewis County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

111007 Issued in MO

Legal business name

LEWIS COUNTY AMBULANCE DISTRICT

Practice address

100 Cherry Street
Lewistown, MO 63452-0218

Phone

(573) 215-2447

Fax

(573) 215-2406

NPI assigned

Apr 5, 2006

Last updated

Aug 14, 2026By 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

Martha Lou Bogguss

Title

Administrator

Phone

(573) 215-2447

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1609838630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 NEW CASTLE RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160574228",
            "telephone_number": "573-215-2447",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHERRY STREET",
            "city": "LEWISTOWN",
            "state": "MO",
            "postal_code": "634520218",
            "telephone_number": "573-215-2447",
            "fax_number": "573-215-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "BOGGUSS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-215-2447"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "111007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "157388",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800547101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Country Aire Operations Management LLC
• Deaconess Long Term Care of Missouri, Inc. (Country Aire Retirement Estates)
• Michelle Ebeling, M.A., CCC-SLP
• GX2 LLC (MED-Direct)
• Tanya Lee Jones, MSW
• Lewistown SNF Operations, LLC (Country Aire Retirement Center)
• Josie L McCracken, PT
• Angela Obrien
• Phca, LLC (Country Aire Retirement Estates)
• Kristi K Primm

• Ambulance in Lewistown, MO
• Providers in Lewistown, MO by specialty
• Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.