Organization Name: | PETTIS COUNTY AMBULANCE DISTRICT |
NPI Number: | 1013250620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY BETH HUNTER (PATIENT ACCOUNTS) |
Mailing Address: | 142 S Limit Ave Sedalia |
State: | MO US |
Postal Code: | 653013655 |
Phone Number: | 6602216994 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2013 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 159035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |