Community Ambulance District

Primary specialty

ParamedicTaxonomy code 146L00000X

License

061000 Issued in MO

Legal business name

COMMUNITY AMBULANCE DISTRICT

Practice address

204 E Corrine St
Gallatin, MO 64640-1006

Phone

(660) 663-3809

Fax

(660) 663-3809

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By 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. Evelyn C Weaver

Title

Billing Specialist

Phone

(660) 663-3809

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982760179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CORRINE ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646401006",
            "telephone_number": "660-663-3809",
            "fax_number": "660-663-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CORRINE ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646401006",
            "telephone_number": "660-663-3809",
            "fax_number": "660-663-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "660-663-3809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MO",
            "license": "061000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03467013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Regional Medical Center Inc (Gallatin Family Medicine)
• Cameron Regional Medical Center Inc (Gallatin Family Medicine)
• Circle of Life Community Hospice & Palliative Care
• Marie D Clark, PTA
• Renae Coberley
• Kaitlyn Nicole Curtis, PTA
• D H Davis Drug Co Inc
• Abigail Grace Daffron
• Daviess County Board for the Developmentally Disabled
• Daviess County Health Department

• Paramedic in Gallatin, MO
• Providers in Gallatin, MO by specialty
• Paramedic in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.