Organization
COUNTY OF GRUNDY
Active
Other names
Grundy County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LEEPER (BILLING DIRECTOR)
(660) 359-4422
Entity
Organization
Contact information
Practice address
1001 E 17TH ST, SUITE 1, TRENTON, MO 64683-1959
(660) 359-4422
(660) 359-4057
Mailing address
1001 E 17TH ST STE 1, TRENTON, MO 64683-1959
(660) 359-4422
(660) 359-4057
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
079006
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03652018
BLUE CROSS BLUE SHIELD
MO
01
—
590077729
RAILROAD RETIREMENT
MO
05
—
80062024
—
MO
Enumeration date
10/06/2006
Last updated
09/16/2025
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