Organization
SOUTH IRON AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM OXENDINE EMT (ASSISTANT MANAGER)
(314) 740-0528
Entity
Organization
Contact information
Practice address
103 FRONT ST, ANNAPOLIS, MO 63620-0100
(314) 740-0528
(832) 218-6185
Mailing address
103 FRONT ST, PO BOX 225, ANNAPOLIS, MO 63620-0100
(314) 740-0528
(832) 218-6185
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B48564
MO
Other
Enumeration date
06/19/2007
Last updated
12/04/2007
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