Organization Active NPI

Steelville Ambulance District

  • Paramedic
  • Steelville, MO
National Provider Identifier
1710012778
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
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

Updated by the provider on Feb 14, 2012

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)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
800630006MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000326 MO Part B Supplier - Ambulance Service Supplier 2062673387 Practice locations: Steelville, 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
26D0926204Steelville Ambulance District#1 EMS Lane, PO Box 541, Steelville, MO 65565Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.