Provider Demographics
NPI:1578569802
Name:SCHUYLER COUNTY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:SCHUYLER COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACAD ASST. CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PROBST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-665-0000
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:QUEEN CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63561-0277
Mailing Address - Country:US
Mailing Address - Phone:660-766-2677
Mailing Address - Fax:
Practice Address - Street 1:1306B US HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:QUEEN CITY
Practice Address - State:MO
Practice Address - Zip Code:63561-2251
Practice Address - Country:US
Practice Address - Phone:660-766-2677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800461303Medicaid