Montgomery County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

139009 Issued in MO

Legal business name

MONTGOMERY COUNTY AMBULANCE DISTRICT

Practice address

911 Benton St
Montgomery City, MO 63361-1318

Phone

(573) 564-3829

Fax

(573) 564-2516

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Burke

Title

Administrator

Phone

(573) 564-3829

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1932114584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633610103",
            "telephone_number": "573-564-3829",
            "fax_number": "573-564-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BENTON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611318",
            "telephone_number": "573-564-3829",
            "fax_number": "573-564-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-564-3829",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "139009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800546400",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8473",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK-COMMERCIAL INS",
            "identifier": "105923",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-COMMERCIAL INS.",
            "identifier": "29831",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1097558",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Holtman
• Julie Johnson, PLPC
• Kathleen M Johnson, LPT
• Eric F. Kondro, M.D.
• Gregory S. Link, MSW, LCSW
• Montgomery County Health Department
• Montgomery County Health Department
• Susan Mount
• Ms MGC Inc
• Ms MGC Inc

• Ambulance in Montgomery City, MO
• Providers in Montgomery City, MO by specialty
• Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.