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Organization

MERAMEC AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN RETHMEIER P13143 (LIEUTENANT)
(636) 451-5816
Entity
Organization

Contact information

Practice address
3279 HIGHWAY 100, VILLA RIDGE, MO 63089-1477
(636) 451-5816
(636) 451-5835
Mailing address
3279 HIGHWAY 100, VILLA RIDGE, MO 63089-1477
(636) 451-5816
(636) 451-5835

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
071021
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29796
BCBS OF MISSOURI
MO
01
590155143
RAILROAD MEDICARE
MO
05
800460305
MO
Enumeration date
08/24/2006
Last updated
11/10/2014
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