Organization
RALLS COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEMES (ADMINISTRATOR)
(573) 221-5510
Entity
Organization
Contact information
Practice address
3120 NORTH HWY. 61, HANNIBAL, MO 63401-6571
(573) 221-2117
(573) 221-5004
Mailing address
142 JAYCEE DRIVE, HANNIBAL, MO 63401-3673
(573) 221-2117
(573) 221-5004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
173002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015245
MEDICARE PTAN
MO
Enumeration date
09/28/2006
Last updated
02/22/2019
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