Organization
LEWIS COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LOU BOGGUSS (ADMINISTRATOR)
(573) 215-2447
Entity
Organization
Contact information
Practice address
100 CHERRY STREET, LEWISTOWN, MO 63452-0218
(573) 215-2447
(573) 215-2406
Mailing address
892 NEW CASTLE RD, SLIPPERY ROCK, PA 16057-4228
(573) 215-2447
(724) 234-4703
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
111007
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157388
BCBS MO
MO
05
—
800547101
—
MO
Enumeration date
04/05/2006
Last updated
08/14/2026
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