Cameron Ambulance District
Organization Active NPI Land Ambulance · Cameron, MO
NPI 1811997281 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1811997281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 049026 (MO)
- Legal business name
- CAMERON AMBULANCE DISTRICT
- Practice address
- 224 S Walnut St
Cameron, MO 64429-0067 - Phone
- (816) 632-6377
- Fax
- (816) 649-1126
- NPI assigned
- Jul 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Mark Hill
- Title
- District Manager
- Phone
- (816) 632-6377
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0963142 | Cameron Ambulance District | Certificate of waiver | Jul 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090120000694 | MO | Part B Supplier - Ambulance Service Supplier | 7911060884 | Practice locations: Cameron, MO |
National Provider Directory
Locations
122 W 1st St
Cameron, MO 64429
Phone (816) 632-6377
224 S Walnut St
Cameron, MO 64429
Phone (816) 632-6377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 049026 | MO | Yes |
Addresses
Primary practice location
224 S Walnut St
Cameron, MO 64429-0067
Mailing address
PO Box 67
Cameron, MO 64429-0067
Phone (816) 632-6377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800550709 | Medicaid | MO |
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.