| Organization Name: | MARTHASVILLE COMMUNITY AMBULANCE DISTRICT |
| NPI Number: | 1770568743 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY BREWE (BOARD CHAIRMAN) |
| Mailing Address: | 200 South Street Marthasville |
| State: | MO US |
| Postal Code: | 633570182 |
| Phone Number: | 6364335262 |
| Fax Number: | 6364335902 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 219011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |