St. James Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

161012 Issued in MO

Legal business name

ST. JAMES AMBULANCE DISTRICT

Practice address

203 S. Louise
St. James, MO 65559

Phone

(573) 265-6565

Fax

(573) 265-0342

NPI assigned

Aug 30, 2006

Last updated

May 16, 2012By 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

Mr. Bryan T Lambeth

Title

Administrator

Phone

(573) 265-6565

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1790895100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S. LOUISE",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-265-6565",
            "fax_number": "573-265-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S. LOUISE",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-265-6565",
            "fax_number": "573-265-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JAMES AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LAMBETH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-265-6565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "161012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800548901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER",
            "identifier": "590014355",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Shepard, RN
• South Central Missouri Community Health Center (Your Community Health Center)
• Jessica Spencer
• St Johns Clinic Inc (SJC-St. James)
• St. James Ambulance District
• St. James R-I School District
• Cathy S Sullivan, COTA
• Carol A Teague, FNP
• Therapypros, LLC
• Natia Turner, PA

• Land Ambulance in Saint James, MO
• Providers in Saint James, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.