Organization
JMH DIVISIFIED HEALTHCARE
Active
Other names
JMH AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS PATRICK HALLEY MSA (ADMINISTRATOR)
(636) 933-1178
Entity
Organization
Contact information
Practice address
1400 HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5730
(636) 933-5301
Mailing address
PO BOX 279, FESTUS, MO 63028-0279
(636) 933-5730
(636) 933-5301
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
099121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033804
CARE PARTNERS
MO
01
—
122373
BLUE CHOICE
MO
01
—
241762
HEALTHLINK
MO
01
—
3329921
HEALTH MARKET
MO
01
—
81 81285
MEDICARE COMPLETE
MO
01
—
8229
HEALTH CARE USA
MO
Enumeration date
07/14/2005
Last updated
08/22/2020
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