Organization
MISSISSIPPI COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDA J RENO (OFFICE MANAGER)
(573) 683-6207
Entity
Organization
Contact information
Practice address
53 W HIGHWAY C, CHARLESTON, MO 63834-8399
(573) 683-6207
(573) 683-4251
Mailing address
53 W HIGHWAY C, CHARLESTON, MO 63834-8399
(573) 683-6207
(573) 683-4251
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
133001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800548505
—
MO
Enumeration date
05/24/2005
Last updated
03/09/2018
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