Provider Demographics
NPI:1407985518
Name:BARTON COUNTY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:BARTON COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:417-682-3513
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:1100 CHERRY STREET
Mailing Address - City:LAMAR
Mailing Address - State:MO
Mailing Address - Zip Code:64759-0085
Mailing Address - Country:US
Mailing Address - Phone:417-682-3513
Mailing Address - Fax:417-682-5677
Practice Address - Street 1:1100 CHERRY STREET
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759-0085
Practice Address - Country:US
Practice Address - Phone:417-682-3513
Practice Address - Fax:417-682-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO011011341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance