Organization
COUNTY OF COLE
Active
Other names
Cole County Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUAL BUSHMAN (PRESIDING COMMISSIONER)
(573) 634-9113
Entity
Organization
Contact information
Practice address
1736 SOUTHRIDGE DR, JEFFERSON CITY, MO 65109-2046
(573) 634-9113
Mailing address
311 E HIGH ST, ROOM 200, JEFFERSON CITY, MO 65101-3250
(573) 634-9113
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
051039
MO
Other
Enumeration date
06/01/2009
Last updated
02/01/2019
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