COOPER COUNTY AMBULANCE DISTRICT; NPI #1851593479

Contact Information

COOPER COUNTY AMBULANCE DISTRICT

17651 B HIGHWAY
BOONVILLE, MO 65233

Phone: 660-882-4105
Fax: 660-882-8108
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COOPER COUNTY AMBULANCE DISTRICT

NPI Number 1851593479

LBN Legal business name COOPER COUNTY AMBULANCE DISTRICT

Authorized official PAT OSWALD - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/05/2007

Last updated 09/08/2014 - About 12 years ago

Identifiers

MO	License #	053007
MO	License #	24836

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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