Organization
RAY COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY MOPPIN (EMS COORDINATOR)
(816) 470-3030
Entity
Organization
Contact information
Practice address
208 WOLLARD BLVD, RICHMOND, MO 64085-1928
(816) 470-3030
Mailing address
PO BOX 514, RICHMOND, MO 64085-0514
(816) 470-3030
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
17708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11428016
BLUE CROSS
MO
05
—
802049908
—
MO
Enumeration date
05/20/2006
Last updated
12/20/2011
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