Organization
CITY OF ODESSA
Active
Other names
Odessa Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH A DILLON PARAMEDIC (EMS DIRECTOR)
(816) 633-4411
Entity
Organization
Contact information
Practice address
101 N 2ND ST, ODESSA, MO 64076-1133
(816) 633-4411
(816) 633-7221
Mailing address
101 N 2ND ST, ODESSA, MO 64076-1133
(816) 633-4411
(816) 633-7221
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
107034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03750018
BLUE CROSS BLUE SHIELD
MO
05
—
801675000
—
MO
Enumeration date
02/08/2007
Last updated
01/09/2013
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