Organization
ATCHISON HOLT AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYMOND E BRADLEY EMTP (EMS CHIEF)
(660) 736-5216
Entity
Organization
Contact information
Practice address
303 S 3RD ST, TARKIO, MO 64491-1808
(660) 736-5216
(660) 736-4892
Mailing address
PO BOX 25, TARKIO, MO 64491
(660) 736-5216
(660) 744-6066
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
005002
MO
341600000X
Ambulance
Primary
5002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800492506
—
MO
Enumeration date
03/20/2007
Last updated
04/20/2023
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