Provider Demographics
NPI:1164693495
Name:NAYLOR AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:NAYLOR AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-RN
Authorized Official - Phone:573-399-2727
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:101 N. FRONT STREET
Mailing Address - City:NAYLOR
Mailing Address - State:MO
Mailing Address - Zip Code:63953-0056
Mailing Address - Country:US
Mailing Address - Phone:573-399-2727
Mailing Address - Fax:573-399-2727
Practice Address - Street 1:101 N FRONT STREET
Practice Address - Street 2:
Practice Address - City:NAYLOR
Practice Address - State:MO
Practice Address - Zip Code:63953-0056
Practice Address - Country:US
Practice Address - Phone:573-399-2727
Practice Address - Fax:573-399-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1810133416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport