Organization Active NPI

Greater Joplin Area Emergency Medical Services System Inc

  • Land Ambulance
  • Joplin, MO
National Provider Identifier
1922073519
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
097004 Issued in MO
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

Updated by the provider on Dec 19, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
801684507MedicaidMO

Other names 1

  • METS Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000121 MO Part B Supplier - Ambulance Service Supplier 8820126279 Practice locations: Joplin, MO; Webb City, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.