Active NPI
Cape County Private Ambulance Service, Inc.
- Ambulance
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 031003
- Legal business name
- CAPE COUNTY PRIVATE AMBULANCE SERVICE, INC.
- Practice address
- 1458 N Kingshighway St
Cape Girardeau, MO 63701-2117 - Phone
- (573) 335-2191
- Fax
- (573) 335-8891
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. John J Russell, M.D.
- Title
- President
- Phone
- (573) 335-2191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 031003 | MO | Primary |
Addresses
Primary practice location
1458 N Kingshighway St
Cape Girardeau, MO 63701-2117
Mailing address
1458 N Kingshighway St
Cape Girardeau, MO 63701-2117
Phone (573) 335-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091230000054 | MO | Part B Supplier - Ambulance Service Supplier | 4880734656 | Practice locations: Cape Girardeau, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0686162 | Cape County Private Ambulance Serv Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1458 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 335-2191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Cape Girardeau, MO
- NPI 1124098728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942357090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 N KINGSHIGHWAY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012117",
"telephone_number": "573-335-2191",
"fax_number": "573-335-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 N KINGSHIGHWAY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012117",
"telephone_number": "573-335-2191",
"fax_number": "573-335-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE COUNTY PRIVATE AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-335-2191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "031003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Capaha Park Inpatient Services, LLC
- Cape Care for Women, LLC
- Cape Chiropractic Clinic LLC
- Cape County Board Fordevelopmental Disabilities
- Cape County Otolaryngology Head & Neck Surgery Inc
- Cape Endodontics, LLC
- Cape Family Care LLC (Cape Family Care)
- Cape Family Medical Clinic, LLC (Cape Family Health)
- Cape Family Medical Clinic, LLC (Cape Family Health)
- Cape Family Practice, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.