County of Grundy

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

079006 Issued in MO

Legal business name

COUNTY OF GRUNDY

Doing business as

Grundy County Ambulance Service

Practice address

1001 E 17TH St
Suite 1
Trenton, MO 64683-1959

Phone

(660) 359-4422

Fax

(660) 359-4057

NPI assigned

Oct 6, 2006

Last updated

Sep 16, 2025By 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

Beth Leeper

Title

Billing Director

Phone

(660) 359-4422

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Grundy County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1629165246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST STE 1",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831959",
            "telephone_number": "660-359-4422",
            "fax_number": "660-359-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST",
            "address_2": "SUITE 1",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831959",
            "telephone_number": "660-359-4422",
            "fax_number": "660-359-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRUNDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "660-359-4422"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "079006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80062024",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03652018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "590077729",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grundy County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace M Carder, MSW, LCSW
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• Ethan Michael Cross, D.C.
• Gregory Dean Cross, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.