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Organization

VALLE AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSE E BARTON PARAMEDIC P-15066 (CHIEF)
(636) 586-2132
Entity
Organization

Contact information

Practice address
12363 STATE ROUTE 21, DE SOTO, MO 63020
(636) 586-2132
(636) 586-4436
Mailing address
12363 STATE ROUTE 21, DESOTO, MO 63020
(636) 586-2132
(636) 586-4436

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance
099082
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800464000
MO
Enumeration date
06/30/2005
Last updated
12/10/2012
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