Organization
WEST CARTER COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C KENNEDY EMT-P (EMS MANAGER)
(573) 323-4791
Entity
Organization
Contact information
Practice address
1301 MAIN ST., VAN BUREN, MO 63965-0160
(573) 323-4791
(573) 323-8030
Mailing address
PO BOX 160, VAN BUREN, MO 63965-0160
(573) 323-4791
(573) 323-8030
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
035009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800551509
—
MO
Enumeration date
03/22/2007
Last updated
03/05/2018
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