Active NPI
Ozark County Ambulance District
- Land Ambulance
- Gainesville, MO
National Provider Identifier
1699005082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 153001
- Legal business name
- OZARK COUNTY AMBULANCE DISTRICT
- Practice address
- 1261 County Road 806
Gainesville, MO 65655-7138 - Phone
- (417) 679-3624
- Fax
- (417) 679-3597
- NPI assigned
- Jan 6, 2010
- Last updated
- Jul 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathan Boone
- Title
- Administrator
- Phone
- (417) 293-2942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 153001 | MO | Primary |
Addresses
Primary practice location
1261 County Road 806
Gainesville, MO 65655-7138
Mailing address
PO Box 354
Gainesville, MO 65655-0354
Phone (417) 679-3624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00896292 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100715000207 | MO | Part B Supplier - Ambulance Service Supplier | 5294867958 | Practice locations: Gainesville, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2004106 | Ozark County Ambulance District | Certificate of waiver | Feb 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
1261 County Road 806
Gainesville, MO 65655
Phone (417) 679-3624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1699005082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 354",
"city": "GAINESVILLE",
"state": "MO",
"postal_code": "656550354",
"telephone_number": "417-679-3624",
"fax_number": "417-679-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 COUNTY ROAD 806",
"city": "GAINESVILLE",
"state": "MO",
"postal_code": "656557138",
"telephone_number": "417-679-3624",
"fax_number": "417-679-3597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OZARK COUNTY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "417-293-2942",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "153001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00896292",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, MO
- Maranatha Health and Wellness Centre, LLC
- Janet Martin, D.C.
- Morrison Chiropractic LLC
- Blakely Jan Morrison, DC
- Next Chapter Counseling & Wellness LLC
- Ozark County Health Center
- Ozark County Health Department (Ozark County Health Center)
- Ozarks Medical Center (Ozark County Ambulance)
- Ozarks Medical Center (Ozarks Healthcare Pharmacy Gainesville)
- Ozarks Medical Center (Ozarks Healthcare Wound Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.