Organization
LEWIS COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J HOFFMAN (SUPERINTENDENT)
(573) 215-2447
Entity
Organization
Contact information
Practice address
100 CHERRY STREET, LEWISTOWN, MO 63452-0218
(573) 215-2447
(573) 215-2406
Mailing address
PO BOX 218, 100 CHERRY STREET, LEWISTOWN, MO 63452-0218
(573) 215-2447
(573) 215-2406
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
Enumeration date
04/05/2006
Last updated
08/22/2020
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