Organization
CAPE COUNTY PRIVATE AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J RUSSELL M.D. (PRESIDENT)
(573) 335-2191
Entity
Organization
Contact information
Practice address
1458 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2117
(573) 335-2191
(573) 335-8891
Mailing address
1458 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2117
(573) 335-2191
(573) 335-8891
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
031003
MO
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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