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GRAND RIVER REGIONAL AMBULANCE DISTRICT
GRAND RIVER REGIONAL AMBULANCE DISTRICT
810 N ALANTHUS AVE.
STANBERRY, MO64489
 Phone: 660-783-2430
 Fax: 660-783-2804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for GRAND RIVER REGIONAL AMBULANCE DISTRICT

NPI # 1659376176
LBN Legal business name GRAND RIVER REGIONAL AMBULANCE DISTRICT
Authorized official EDWARD TRUITT - (INTERIM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2005
Last updated 01/12/2026 - About 5 months ago
Identifiers
MO License # 075035
MO Medicaid 802478701
MO Other 16949018 BC/BS PROVIDER NUMBER
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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