Organization Active NPI

Slater Ambulance District

  • Land Ambulance
  • Slater, MO
National Provider Identifier
1831224427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
195014 Issued in MO
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120201000826 MO Part B Supplier - Ambulance Service Supplier 4587821632 Practice locations: Slater, 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
26D1000200Slater Ambulance District #1102 North Main, Slater, MO 65349Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.