Provider Demographics
NPI:1780676015
Name:SOUTH HOWELL COUNTY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:SOUTH HOWELL COUNTY AMBULANCE DISTRICT
Other - Org Name:WEST PLAINS AREA AMBULANCE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:417-256-2490
Mailing Address - Street 1:1951 E STATE ROUTE K
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-5100
Mailing Address - Country:US
Mailing Address - Phone:417-256-2490
Mailing Address - Fax:417-257-1353
Practice Address - Street 1:1951 E STATE ROUTE K
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-5100
Practice Address - Country:US
Practice Address - Phone:417-256-2490
Practice Address - Fax:417-257-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0910223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport