Organization
CHARITON COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC RAY MCKENZIE (SUPERINTENDENT)
(660) 388-6115
Entity
Organization
Contact information
Practice address
212 S WEBER AVE, SALISBURY, MO 65281-1014
(660) 388-6115
Mailing address
212 SOUTH WEBER AVE., SALISBURY, MO 65281
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
041009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800628802
—
MO
Enumeration date
07/21/2005
Last updated
03/24/2022
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