Active NPI
Greater Joplin Area Emergency Medical Services System Inc
- Land Ambulance
- Joplin, MO
National Provider Identifier
1922073519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 097004
- Legal business name
- GREATER JOPLIN AREA EMERGENCY MEDICAL SERVICES SYSTEM INC
- Practice address
- 625 S Virginia Ave
Joplin, MO 64801-2328 - Phone
- (417) 623-3347
- Fax
- (417) 623-4022
- NPI assigned
- Feb 17, 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. Jason R Smith
- Title
- Ceo
- Phone
- (417) 623-3347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 097004 | MO | Primary |
Addresses
Primary practice location
625 S Virginia Ave
Joplin, MO 64801-2328
Mailing address
625 S Virginia Ave
Joplin, MO 64801-2328
Phone (417) 623-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801684507 | Medicaid | MO |
Other names 1
- METS Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100506000121 | MO | Part B Supplier - Ambulance Service Supplier | 8820126279 | Practice locations: Joplin, MO; Webb City, MO |
National Provider Directory
National Provider DirectoryLocations
625 S Virginia Ave
Joplin, MO 64801
Phone (417) 623-3347
3222 John Duffy Dr
Joplin, MO 64804
Phone (417) 261-0175
506 Ellis St
Webb City, MO 64870
Phone (417) 623-3348
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Joplin, MO
- NPI 1154363232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1922073519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S VIRGINIA AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012328",
"telephone_number": "417-623-3347",
"fax_number": "417-623-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S VIRGINIA AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012328",
"telephone_number": "417-623-3347",
"fax_number": "417-623-4022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER JOPLIN AREA EMERGENCY MEDICAL SERVICES SYSTEM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "417-623-3347",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "097004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "801684507",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "METS Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.