Cooper County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

053007 Issued in MO

Legal business name

COOPER COUNTY AMBULANCE DISTRICT

Practice address

604 Rankin Mill LN
Boonville, MO 65233-2993

Phone

(660) 882-3380

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Brandon Hicks, EMS CHIEF

Title

Director

Phone

(660) 882-3380

Specialties & licenses 2

Addresses

Other names 2

• Cooper County Ambulance Doing business as
• Cooper County Memorial Hospital Other name

Electronic endpoints 1

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1851593479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652330414",
            "telephone_number": "660-882-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 RANKIN MILL LN",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332993",
            "telephone_number": "660-882-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-882-3380",
        "authorized_official_credential": "EMS CHIEF"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "24836",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "053007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emschief@cooperems.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "604 Rankin Mill Ln",
            "city": "Boonville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652332993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cooper County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cooper County Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mona L Brownfield, M.D.
• Ellison Brunkhorst
• Jesse Buehler, CRAADC
• Central Missouri Healthcare Associates, LLC
• Chariton Health Systems Inc
• Cooper County Board of Sheltered Services
• Cooper County Memorial Hospital
• Cooper County Memorial Hospital
• Cooper County Public Health Center
• Donette Dee Cornett, LPC

• All providers in Boonville, MO
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.