# LINCOLN COUNTY AMB DIST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINCOLN COUNTY AMB DIST
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194636761
- **Legal business name:** LINCOLN COUNTY AMB DIST
- **Authorized official:** RAYMOND ANTONACCI (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (636) 528-8488

## Contact information

- **Practice address:** 1392 S 3RD ST, TROY, MO 63379-2706
- **Practice address phone:** (636) 295-2186
- **Mailing address:** PO BOX 157, TROY, MO 63379-0157
- **Mailing address phone:** (636) 295-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146E00000X | Community Paramedic | — | NULL | — |
| 146E00000X | Community Paramedic | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2026
- **Last updated:** 09/14/2026
