Active NPI
Steelville Ambulance District
- Paramedic
- Steelville, MO
National Provider Identifier
1710012778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Legal business name
- STEELVILLE AMBULANCE DISTRICT
- Practice address
- #1 EMS Lane
Steelville, MO 65565 - Phone
- (573) 775-2211
- Fax
- (573) 775-3982
- NPI assigned
- Feb 22, 2007
- 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. William G Patt, EMT-P
- Title
- Administrator
- Phone
- (573) 775-2211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Primary |
Addresses
Primary practice location
#1 EMS Lane
Steelville, MO 65565
Mailing address
PO Box 541
#1 EMS Lane
Steelville, MO 65565-0541
Phone (573) 775-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800630006 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120413000326 | MO | Part B Supplier - Ambulance Service Supplier | 2062673387 | Practice locations: Steelville, 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 |
|---|---|---|---|
| 26D0926204 | Steelville Ambulance District | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1710012778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541",
"address_2": "#1 EMS LANE",
"city": "STEELVILLE",
"state": "MO",
"postal_code": "655650541",
"telephone_number": "573-775-2211",
"fax_number": "573-775-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 EMS LANE",
"city": "STEELVILLE",
"state": "MO",
"postal_code": "65565",
"telephone_number": "573-775-2211",
"fax_number": "573-775-3982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEELVILLE AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "PATT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-775-2211",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800630006",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steelville, MO
- Leighanne Marie Price
- Jordan Marie Priest, DNP, FNP-BC
- Rebecca Renea Sackman, FNP
- Eric Richard Sands, RPH
- St Johns Clinic Inc (SJC-Steelville)
- Steelville Community Services Inc. (Gibbs Care Center)
- Steelville Healthcare LLC (Steelville Care & Rehab Center)
- Steelville Reorganized SCH Dist R 3
- Steelville Senior Living, LLC (Steelville Senior Living)
- Town & Country Super Market Inc (Country Mart Pharmacy #2425)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.