Organization
MONTGOMERY COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BURKE (ADMINISTRATOR)
(573) 564-3829
Entity
Organization
Contact information
Practice address
911 BENTON ST, MONTGOMERY CITY, MO 63361-1318
(573) 564-3829
(573) 564-2516
Mailing address
PO BOX 103, MONTGOMERY CITY, MO 63361-0103
(573) 564-3829
(573) 564-2516
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
139009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105923
HEALTHLINK-COMMERCIAL INS
MO
05
—
1097558
—
KY
01
—
29831
BCBS-COMMERCIAL INS.
MO
05
—
800546400
—
MO
05
—
8473
—
KY
Enumeration date
07/30/2006
Last updated
06/27/2025
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