Active NPI
Joachim Plattin Townships Ambulance District
- Land Ambulance
- Festus, MO
National Provider Identifier
1992856504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 099058
- Legal business name
- JOACHIM PLATTIN TOWNSHIPS AMBULANCE DISTRICT
- Practice address
- 619 Collins Ave
Festus, MO 63028 - Phone
- (636) 937-2224
- NPI assigned
- Jan 12, 2007
- 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
- Mr. Curtis Paul Stueve
- Title
- Administrator
- Phone
- (636) 937-2224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 099058 | MO | Primary |
Addresses
Primary practice location
619 Collins Ave
Festus, MO 63028
Mailing address
PO Box 124
619 Collins Ave
Festus, MO 63028-0124
Phone (636) 937-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800460107 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222000121 | MO | Part B Supplier - Ambulance Service Supplier | 1951430990 | Practice locations: Crystal City, MO; De Soto, MO; Festus, MO; Pevely, MO |
National Provider Directory
National Provider DirectoryLocations
1235 N Truman Blvd
Crystal City, MO 63019
Phone (314) 937-2224
619 Collins Dr
Festus, MO 63028
Phone (636) 937-2224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1992856504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 124",
"address_2": "619 COLLINS AVE",
"city": "FESTUS",
"state": "MO",
"postal_code": "630280124",
"telephone_number": "636-937-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 COLLINS AVE",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "636-937-2224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOACHIM PLATTIN TOWNSHIPS AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2010-06-02",
"status": "A",
"authorized_official_last_name": "STUEVE",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "636-937-2224",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "099058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800460107",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.