Provider Demographics
NPI:1619013828
Name:OWENSVILLE AREA AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:OWENSVILLE AREA AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBENTHAL-ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-437-4353
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:OWENSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65066-0139
Mailing Address - Country:US
Mailing Address - Phone:573-437-4353
Mailing Address - Fax:573-437-7650
Practice Address - Street 1:405 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65066-1444
Practice Address - Country:US
Practice Address - Phone:573-437-4353
Practice Address - Fax:573-437-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0730163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport