Organization
REYNOLDS COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JD JADELOVICZ NRP (ADMINISTRATOR)
(573) 429-5512
Entity
Organization
Contact information
Practice address
2281 BUFORD ST, CENTERVILLE, MO 63633
(573) 429-5512
(573) 648-2555
Mailing address
PO BOX 224, CENTERVILLE, MO 63633-0224
(636) 294-4632
(800) 583-1756
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
179001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13660632
—
MO
05
—
800459000
—
MO
Enumeration date
04/07/2008
Last updated
08/12/2019
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