Organization
NORTH HARRISON CO AMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNA OSBORN (MANAGER)
(660) 867-3340
Entity
Organization
Contact information
Practice address
10030 10TH ST., EAGLEVILLE, MO 64442
(660) 867-3340
Mailing address
PO BOX 218, EAGLEVILLE, MO 64442-0218
(660) 867-3340
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
081027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121216715
—
AR
01
—
3021-7011
BLUE CROSS BLUE SHIELD
MO
05
—
800462400
—
MO
05
—
8211615
—
MN
05
—
967505
—
IA
Enumeration date
03/30/2007
Last updated
01/19/2012
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