Organization Active NPI

Cole Camp Community Ambulance District

Doing business as Cole Camp EMS

  • Land Ambulance
  • Cole Camp, MO
National Provider Identifier
1902839095
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Aug 30, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000597 MO Part B Supplier - Ambulance Service Supplier 5698834794 Practice locations: Cole Camp, MO

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.