City of Odessa

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

107034 Issued in MO

Legal business name

CITY OF ODESSA

Doing business as

Odessa Emergency Medical Service

Practice address

101 N 2ND St
Odessa, MO 64076-1133

Phone

(816) 633-4411

Fax

(816) 633-7221

NPI assigned

Feb 8, 2007

Last updated

Jan 9, 2013By 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

Mrs. Ruth A Dillon, PARAMEDIC

Title

EMS Director

Phone

(816) 633-4411

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Odessa Emergency Medical Service Doing business as

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1922149681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 2ND ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761133",
            "telephone_number": "816-633-4411",
            "fax_number": "816-633-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 2ND ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761133",
            "telephone_number": "816-633-4411",
            "fax_number": "816-633-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ODESSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "816-633-4411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "107034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03750018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801675000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kayla Jo Carrillo, MOT, OTR/L
• Ram Chandra, D.O.
• Karen L. Chaney, LPC
• Megan Lauryn Cole, LPC
• Abby Rae Colin, LCSW
• Patricia Deane Collins
• Compass Health, Inc.
• Tyler Cosner, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.