Organization
COUNTY OF GRUNDY
Active
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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