| Organization Name: | PUTNAM COUNTY AMBULANCE DISTRICT |
| NPI Number: | 1063542330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON A DEAN (ADMINISTRATOR) |
| Mailing Address: | 1928 Oak St Unionville |
| State: | MO US |
| Postal Code: | 635651180 |
| Phone Number: | 6609473649 |
| Fax Number: | 6609473710 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 171018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |