LINCOLN COUNTY AMB DIST; NPI #1063419620

Contact Information

LINCOLN COUNTY AMB DIST

1392 SOUTH 3RD ST
TROY, MO 63379

Phone: 636-528-8488
Fax: 636-528-6828
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LINCOLN COUNTY AMB DIST

NPI Number 1063419620

LBN Legal business name LINCOLN COUNTY AMB DIST

Authorized official RAY ANTONACCI - (CHIEF ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/28/2005

Last updated 01/07/2020 - About 6 years ago

Identifiers

MO	License #	113000
MO	Medicaid	800459802

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LINCOLN COUNTY AMB DIST

Contact Information

Specialty

Land Transport

NPI Profile & details for LINCOLN COUNTY AMB DIST

Reviews for LINCOLN COUNTY AMB DIST