Organization Active NPI

Barry-Lawrence County Ambulance District

  • Land Ambulance
  • Monett, MO
National Provider Identifier
1861492563
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
009041 Issued in MO
Legal business name
BARRY-LAWRENCE COUNTY AMBULANCE DISTRICT
Practice address
307 Dairy St
Monett, MO 65708-2520
Phone
(417) 235-3102
NPI assigned
Jul 26, 2005
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Paula Flory
Title
Office Manager
Phone
(417) 235-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 009041 MO Primary

Addresses

Primary practice location

307 Dairy St
Monett, MO 65708-2520

Mailing address

PO Box 384
307 Dairy Street
Monett, MO 65708-0384
Phone (417) 235-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000077 MO Part B Supplier - Ambulance Service Supplier 9234171398 Practice locations: Monett, 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
26D1023065Barry-Lawrence County Ambulance District307 Dairy Street, Monett, MO 65708Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

307 Dairy St
Monett, MO 65708
Phone (417) 235-3102

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1861492563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "address_2": "307 DAIRY STREET",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657080384",
            "telephone_number": "417-235-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 DAIRY ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082520",
            "telephone_number": "417-235-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY-LAWRENCE COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "FLORY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-235-3102"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.