Organization
WORTH COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY A MORIN (SEC TREAS)
(660) 786-2351
Entity
Organization
Contact information
Practice address
503 EAST 4TH STREET, GRANT CITY, MO 64456
(660) 786-2351
Mailing address
PO BOX 29, GRANT CITY, MO 64456
(660) 786-2351
(660) 786-2331
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27766015
BCBS
—
05
—
801352204
—
MO
Enumeration date
09/08/2006
Last updated
05/07/2008
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