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Organization

SALT RIVER AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCY A BEVILL III (ADMINISTRATOR)
(573) 633-2335
Entity
Organization

Contact information

Practice address
202 N JACKSON ST, SHELBYVILLE, MO 63469-1020
(573) 633-2335
(573) 633-1009
Mailing address
202 N JACKSON ST, SHELBYVILLE, MO 63469-1020
(573) 633-2335
(573) 633-1009

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
205001
MO

Other

Enumeration date
08/10/2005
Last updated
08/22/2020
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