Organization
MARIES OSAGE AMBULANCE DISTRICT
Active
Other names
Maries Osage Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LANNING (BOARD PRESIDENT)
(573) 422-6123
Entity
Organization
Contact information
Practice address
164 BALLPARK ROAD, VIENNA, MO 65582
(573) 422-6123
(573) 422-6328
Mailing address
PO BOX 515, VIENNA, MO 65582
(573) 422-6123
(573) 422-6328
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
125008
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802056101
—
MO
01
—
826590494
RAILROAD MEDICARE
MO
Enumeration date
07/07/2005
Last updated
08/17/2018
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