Grand River Regional Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

075035 Issued in MO

Legal business name

GRAND RIVER REGIONAL AMBULANCE DISTRICT

Doing business as

Grand River Ambulance

Practice address

Grand River Regional Ambulance District
810 N Alanthus Ave.
Stanberry, MO 64489

Phone

(660) 783-2430

Fax

(660) 783-2804

NPI assigned

Jun 21, 2005

Last updated

Jan 12, 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

Edward Truitt

Title

Interim Director

Phone

(660) 783-2430

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grand River Ambulance Doing business as

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1659376176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ALANTHUS AVE",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644891020",
            "telephone_number": "660-783-2430",
            "fax_number": "660-783-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND RIVER REGIONAL AMBULANCE DISTRICT",
            "address_2": "810 N ALANTHUS AVE.",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "64489",
            "telephone_number": "660-783-2430",
            "fax_number": "660-783-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER REGIONAL AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "660-783-2430"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "075035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "16949018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802478701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand River Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.