Organization
EAST WAYNE COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA J RIDINGS (MEDICAL BILLER/BOOKKEEPER)
(573) 224-5501
Entity
Organization
Contact information
Practice address
105 SYCAMORE ST., GREENVILLE, MO 63944
(573) 224-5501
(573) 224-5348
Mailing address
PO BOX 173, GREENVILLE, MO 63944-0173
(573) 224-5501
(573) 224-5348
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
223034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802414607
—
MO
Enumeration date
11/13/2006
Last updated
01/03/2024
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