Active NPI
Cole Camp Community Ambulance District
Doing business as Cole Camp EMS
- Land Ambulance
- Cole Camp, MO
National Provider Identifier
1902839095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COLE CAMP COMMUNITY AMBULANCE DISTRICT
- Doing business as
- Cole Camp EMS
- Practice address
- 905 E Main Street
Cole Camp, MO 65325 - Phone
- (660) 668-5006
- Fax
- (660) 668-3131
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Harris Meuschke III
- Title
- Administrator
- Phone
- (660) 687-9077
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary | ||
| Land Ambulance | 3416L0300X | 015032 | MO |
Addresses
Primary practice location
905 E Main Street
Cole Camp, MO 65325
Mailing address
PO Box 247
Cole Camp, MO 65325
Phone (660) 668-5006
Other names 1
- Cole Camp EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081104000597 | MO | Part B Supplier - Ambulance Service Supplier | 5698834794 | Practice locations: Cole Camp, MO |
National Provider Directory
National Provider DirectoryLocations
905 E Main St
Cole Camp, MO 65325
Phone (660) 668-4772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504051200000",
"number": "1902839095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "COLE CAMP",
"state": "MO",
"postal_code": "65325",
"telephone_number": "660-668-5006",
"fax_number": "636-989-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E MAIN STREET",
"city": "COLE CAMP",
"state": "MO",
"postal_code": "65325",
"telephone_number": "660-668-5006",
"fax_number": "660-668-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLE CAMP COMMUNITY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2017-08-30",
"status": "A",
"authorized_official_last_name": "MEUSCHKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "HARRIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "660-687-9077",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "015032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cole Camp EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cole Camp, MO
- Ambrose Park Residential Care Facility
- Anew Healthcare Operations - Cole Camp, LLC (ANEW Senior Living Cole Camp)
- Christine Armantrout
- Back in Action Chiropractic LLC
- Bothwell Regional Health Center (Cole Camp Clinic)
- Cole Camp R-I School District
- Pamela Sue Eckhoff, DNP, FNP-BC
- Good Samaritan Nursing Home (Good Samaritan Care Center)
- Heart Core LLC
- Samantha Lang, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.