Active NPI
Slater Ambulance District
- Land Ambulance
- Slater, MO
National Provider Identifier
1831224427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 195014
- Legal business name
- SLATER AMBULANCE DISTRICT
- Practice address
- 102 Main St
Slater, MO 65349-1410 - Phone
- (660) 529-2316
- Fax
- (660) 529-2386
- NPI assigned
- Feb 22, 2007
- Last updated
- Aug 22, 2020
- 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
- Cathie Jeffries
- Title
- Manager
- Phone
- (660) 529-2316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 195014 | MO | Primary |
Addresses
Primary practice location
102 Main St
Slater, MO 65349-1410
Mailing address
102 Main St
Slater, MO 65349-1410
Phone (660) 529-2316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120201000826 | MO | Part B Supplier - Ambulance Service Supplier | 4587821632 | Practice locations: Slater, 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 |
|---|---|---|---|
| 26D1000200 | Slater Ambulance District #1 | Certificate of waiver | Jun 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
102 Main St
Slater, MO 65349
Phone (660) 529-2316
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": "1598054400000",
"number": "1831224427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "SLATER",
"state": "MO",
"postal_code": "653491410",
"telephone_number": "660-529-2316",
"fax_number": "660-529-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "SLATER",
"state": "MO",
"postal_code": "653491410",
"telephone_number": "660-529-2316",
"fax_number": "660-529-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLATER AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JEFFRIES",
"authorized_official_first_name": "CATHIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "660-529-2316"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "195014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slater, MO
- John Fitzgibbon Memorial Hospital Inc. (Akeman McBurney Health Clinic)
- John Fitzgibbon Memorial Hospital, Inc. (Fitzgibbon Chiropractic)
- Missouri Valley Physicians PC
- Matthew William Oxford, MD
- Renowned Chiropractic LLC
- Slater Public School
- State of Missouri (Marshall Habilitation Center-Home 4)
- Summers Pharmacy of Slater, LLC
- George Philip Wymore, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.