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Organization

PUTNAM COUNTY AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN GOTT (ADMIN)
(660) 947-3670
Entity
Organization

Contact information

Practice address
2206 PUTNAM ST, UNIONVILLE, MO 63565-1061
(660) 947-3670
(660) 947-3710
Mailing address
2206 PUTNAM ST, UNIONVILLE, MO 63565-1061
(660) 947-3670
(660) 947-3710

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
171018
MO
3416L0300X
Land Ambulance
Primary
171018
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
590010605
RAILROAD MEDICARE
05
800548802
MO
01
MA2945
MEDICARE
MO
Enumeration date
03/06/2007
Last updated
05/13/2026
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