Organization
CALDWELL COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF STILL (DIRECTOR)
(816) 586-3801
Entity
Organization
Contact information
Practice address
480 S WASHINGTON ST, KINGSTON, MO 64650-9121
(816) 586-3801
(816) 586-4206
Mailing address
480 S WASHINGTON ST, KINGSTON, MO 64650-9121
(816) 586-3801
(816) 586-4206
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
025003
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03575011
BCBS
MO
05
—
800461907
—
MO
Enumeration date
09/06/2006
Last updated
12/17/2012
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