Meramec Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

071021 Issued in MO

Legal business name

MERAMEC AMBULANCE DISTRICT

Practice address

3279 Highway 100
Villa Ridge, MO 63089-1477

Phone

(636) 451-5816

Fax

(636) 451-5835

NPI assigned

Aug 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Rethmeier, P13143

Title

Lieutenant

Phone

(636) 451-5816

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1841307717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 HIGHWAY 100",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630891477",
            "telephone_number": "636-451-5816",
            "fax_number": "636-451-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 HIGHWAY 100",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630891477",
            "telephone_number": "636-451-5816",
            "fax_number": "636-451-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAMEC AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "RETHMEIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "636-451-5816",
        "authorized_official_credential": "P13143"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "071021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800460305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590155143",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "29796",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Villa Ridge, MO
• Providers in Villa Ridge, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.