Organization
COMMUNITY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN C WEAVER (BILLING SPECIALIST)
(660) 663-3809
Entity
Organization
Contact information
Practice address
204 E CORRINE ST, GALLATIN, MO 64640-1006
(660) 663-3809
(660) 663-3809
Mailing address
204 E CORRINE ST, GALLATIN, MO 64640-1006
(660) 663-3809
(660) 663-3809
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
061000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03467013
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/29/2006
Last updated
08/22/2020
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