Organization
ANDREW COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE RUDEL (DIRECTOR)
(816) 897-0549
Entity
Organization
Contact information
Practice address
206 N 3RD ST, SAVANNAH, MO 64485-1422
(816) 324-3341
(816) 324-6467
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
003018
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08215015
BLUECROSS BLUESHIELD
MO
05
—
100243450A
—
KS
05
—
125283715
—
AK
05
—
802605600
—
MO
Enumeration date
03/29/2007
Last updated
04/02/2019
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