Organization Active NPI

Joachim Plattin Townships Ambulance District

  • Land Ambulance
  • Festus, MO
National Provider Identifier
1992856504
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
099058 Issued in MO
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

Updated by the provider on Jun 2, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800460107MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.