Organization
REV NOEL T ADAMS MEM AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BARCLAY EMT-P (CHIEF OF EMS)
(660) 425-6319
Entity
Organization
Contact information
Practice address
1000 S 25TH ST, BETHANY, MO 64424-2610
(660) 425-6319
(660) 425-7019
Mailing address
PO BOX 182, BETHANY, MO 64424-0182
(660) 425-6319
(660) 425-7019
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
081001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03743015
BLUE CROSS BLUE SHIELD
MO
05
—
801371303
—
MO
01
—
826590263
RAILROAD MEDICARE
MO
Enumeration date
05/31/2005
Last updated
04/24/2024
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