Organization
ST. JAMES AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN T LAMBETH (ADMINISTRATOR)
(573) 265-6565
Entity
Organization
Contact information
Practice address
203 S. LOUISE, ST. JAMES, MO 65559
(573) 265-6565
(573) 265-0342
Mailing address
203 S. LOUISE, ST. JAMES, MO 65559
(573) 265-6565
(573) 265-0342
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
161012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590014355
RR MEDICARE PROVIDER
MO
05
—
800548901
—
MO
Enumeration date
08/30/2006
Last updated
05/16/2012
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