Organization
CLARK COUNTY AMBULANCE DISTRICT
Active
Organization
CLARK COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDA I JAMES (DIRECTOR)
(660) 727-3612
Entity
Organization
Contact information
Practice address
211 N VINE ST, KAHOKA, MO 63445-1283
(660) 727-3612
(660) 727-2182
Mailing address
211 N VINE ST, KAHOKA, MO 63445-1283
(660) 727-3612
(660) 727-2182
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
045004
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906834
—
IA
01
—
155574
BC/BS OF MISSOURI
MO
01
—
ITS99
WELLMARK BC/BS OF IOWA
IA
Enumeration date
01/13/2006
Last updated
08/22/2020
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