Provider Demographics
NPI: | 1164548509 |
---|---|
Name: | RIPLEY COUNTY AMBULANCE DISTRICT |
Entity Type: | Organization |
Organization Name: | RIPLEY COUNTY AMBULANCE DISTRICT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHAIRMAN - BOARD OF DIRECTORS |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | BILL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JENKINS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 573-996-7551 |
Mailing Address - Street 1: | 1003 WALNUT ST |
Mailing Address - Street 2: | |
Mailing Address - City: | DONIPHAN |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63935-1337 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 573-996-7551 |
Mailing Address - Fax: | 573-996-1984 |
Practice Address - Street 1: | 1003 WALNUT ST |
Practice Address - Street 2: | |
Practice Address - City: | DONIPHAN |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63935-1337 |
Practice Address - Country: | US |
Practice Address - Phone: | 573-996-7551 |
Practice Address - Fax: | 573-996-1984 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-21 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MO | 181021 | 3416L0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3416L0300X | Transportation Services | Ambulance | Land Transport |