Rev Noel T Adams Mem Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

081001 Issued in MO

Legal business name

REV NOEL T ADAMS MEM AMBULANCE DISTRICT

Practice address

1000 S 25TH St
Bethany, MO 64424-2610

Phone

(660) 425-6319

Fax

(660) 425-7019

NPI assigned

May 31, 2005

Last updated

Apr 24, 2024By 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

John Barclay, EMT-P

Title

Chief of EMS

Phone

(660) 425-6319

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1922001254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644240182",
            "telephone_number": "660-425-6319",
            "fax_number": "660-425-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 25TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242610",
            "telephone_number": "660-425-6319",
            "fax_number": "660-425-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REV NOEL T ADAMS MEM AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "660-425-6319",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "081001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801371303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826590263",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03743015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cephas Paniamogan, FNP-C
• Courtney Lynn Parkhurst, HIS
• Hansa N Patel, M.D
• Natu B Patel, M.D
• Alisha Michelle Purdun
• Daniel Raymond Richert, AU.D.
• Rolling Hills Creative Living, Inc
• Kenneth W Shewell, MD
• Emily Kaylene Shuck
• Patricia Slaughter, LMSW

• Land Ambulance in Bethany, MO
• Providers in Bethany, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.