Organization
MARION COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEMES (ADMINISTRATOR)
(573) 221-5510
Entity
Organization
Contact information
Practice address
3120 HIGHWAY 61, HANNIBAL, MO 63401-6571
(573) 221-2117
(573) 221-5004
Mailing address
142 JAYCEE DRIVE, HANNIBAL, MO 63401-3673
(573) 221-2117
(573) 221-5004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
127001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000048022
MEDICARE PTAN
MO
05
—
800551301
—
MO
Enumeration date
09/28/2006
Last updated
01/29/2019
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