Organization · Type 2 NPI

County of Cole

Land Ambulance · Jefferson City, MO

NPI number 1407082746 Active

Practice location

1736 Southridge Dr
Jefferson City, MO 65109-2046

Call (573) 634-9113 Map

Mailing address

311 E High St, Room 200
Jefferson City, MO 65101-3250

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	051039 (MO)

Land Ambulance: Definition to come...

NPI record

NPI: 1407082746
Entity type: Organization (Type 2)
Issued: Jun 1, 2009
Last updated: Feb 1, 2019
Status: Active

Other names

<unavail>
Cole County Emergency Medical Services · doing business as
Cole County Emergency Medical Services · doing business as

Authorized official

Mr. Samual Bushman
Presiding Commissioner
(573) 634-9113

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407082746

County of Cole's National Provider Identifier is 1407082746, issued on Jun 1, 2009. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Jefferson City, MO. The record was last updated on Feb 1, 2019.