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Organization

GRAND RIVER REGIONAL AMBULANCE DISTRICT

Active
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Organization

GRAND RIVER REGIONAL AMBULANCE DISTRICT

Active
Other names
Grand River Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD TRUITT (INTERIM DIRECTOR)
(660) 783-2430
Entity
Organization

Contact information

Practice address
GRAND RIVER REGIONAL AMBULANCE DISTRICT, 810 N ALANTHUS AVE., STANBERRY, MO 64489
(660) 783-2430
(660) 783-2804
Mailing address
810 N ALANTHUS AVE, STANBERRY, MO 64489-1020
(660) 783-2430
(660) 783-2804

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
075035
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16949018
BC/BS PROVIDER NUMBER
MO
05
802478701
MO
Enumeration date
06/21/2005
Last updated
01/12/2026
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