Union Community Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

071064 Issued in MO

Legal business name

UNION COMMUNITY AMBULANCE DISTRICT

Doing business as

Union Ambulance District

Practice address

211 S Church St
Union, MO 63084-1852

Phone

(636) 583-2600

Fax

(636) 583-4947

NPI assigned

Nov 16, 2006

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle A Mayer, PARAMEDIC

Title

Administrator

Phone

(636) 583-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Union Ambulance District Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Union Community Ambulance District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Union Community Ambulance District

  • Public Health or Welfare Agency
  • Union, MO
  • NPI 1184532509
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Union Community Ambulance District

  • Public Health or Welfare Agency
  • Union, MO
  • NPI 1184532509
  NPPES parent name

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1881767853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CHURCH ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841852",
            "telephone_number": "636-583-2600",
            "fax_number": "636-583-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CHURCH ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841852",
            "telephone_number": "636-583-2600",
            "fax_number": "636-583-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COMMUNITY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-583-2600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "071064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014550",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800630204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Tomlin
• Jacob Austin Travis, OD
• Ashley D Tucker, LPN
• Toni Louise Turigliatto, LPC
• Union Community Ambulance District
• Union Court Residential, LLC (Willow Brooke)
• Union Professional Hearing Center, LLC (Professional Hearing Center)
• Union R-XI School Disrtict
• Union R-XI School District
• Mickayla Vangyia, LMSW

• Land Ambulance in Union, MO
• Providers in Union, 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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.