Provider Demographics
NPI:1699005082
Name:OZARK COUNTY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:OZARK COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-261-2863
Mailing Address - Street 1:HC 1 BOX 31
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65655-9601
Mailing Address - Country:US
Mailing Address - Phone:417-679-3624
Mailing Address - Fax:417-679-3597
Practice Address - Street 1:HC 1 BOX 31
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65655-9601
Practice Address - Country:US
Practice Address - Phone:417-679-3624
Practice Address - Fax:417-679-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1530013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport