Organization
MARTHASVILLE COMMUNITY AMBULANCE DISTRICT
Active
Organization
MARTHASVILLE COMMUNITY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY BREWE (BOARD CHAIRMAN)
(636) 433-5262
Entity
Organization
Contact information
Practice address
200 SOUTH STREET, MARTHASVILLE, MO 63357-0182
(636) 433-5262
(636) 433-5902
Mailing address
PO BOX 182, MARTHASVILLE, MO 63357-0182
(636) 433-5262
(636) 433-5902
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
219011
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112638
HEALTHLINK
—
01
—
146442
BCBS
—
01
—
33558
GHP
—
01
—
8181643
UHC
—
Enumeration date
12/13/2005
Last updated
08/22/2020
Update your record
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