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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
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