Organization
TANEY COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLBY STOCKSTILL (AUTHORIZED OFFICIAL)
(417) 334-6586
Entity
Organization
Contact information
Practice address
106 INDUSTRIAL PARK DR, HOLLISTER, MO 65672-5392
(417) 334-6586
Mailing address
PO BOX 460, BRANSON, MO 65615-0460
(417) 334-6586
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
213021
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109208
BLUECROSS BLUESHIELD
MO
05
—
800630105
—
MO
Enumeration date
07/19/2005
Last updated
02/07/2025
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