Organization Active NPI

Ozark County Ambulance District

  • Land Ambulance
  • Gainesville, MO
National Provider Identifier
1699005082
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
153001 Issued in MO
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00896292OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100715000207 MO Part B Supplier - Ambulance Service Supplier 5294867958 Practice locations: Gainesville, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2004106Ozark County Ambulance District1261 County Road 806, Gainesville, MO 65655Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.