Organization
VAN FAR AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES J MOTTAZ (OFFICE MANAGER)
(573) 594-2112
Entity
Organization
Contact information
Practice address
114 E PARK ST, VANDALIA, MO 63382-1813
(573) 594-2112
(573) 594-2624
Mailing address
114 E PARK ST, VANDALIA, MO 63382-1813
(573) 594-2112
(573) 594-2624
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MO
Other
Enumeration date
08/03/2005
Last updated
07/21/2022
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