Organization
NEWTON COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL TINNNEY PARAMEDIC (ADMINISTRATOR)
(417) 451-5568
Entity
Organization
Contact information
Practice address
1011 W HILL ST, NEOSHO, MO 64850
(417) 451-5568
(417) 451-5573
Mailing address
1011 W HILL ST, PO BOX 60, NEOSHO, MO 64850-0060
(417) 451-5568
(417) 451-5573
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
145009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8004642008
—
MO
Enumeration date
03/02/2006
Last updated
07/19/2018
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