Organization Name: | PAFFORD EMERGENCY MEDICAL SERVICES OF MISSOURI, INC. |
NPI Number: | 1497069199 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY D CLARK (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 946 E Reed St Hayti |
State: | MO US |
Postal Code: | 638511243 |
Phone Number: | 8707777660 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |