Provider Demographics
NPI:1851394712
Name:SALINE COUNTY AMBULANCE DISTRICT NO 3
Entity Type:Organization
Organization Name:SALINE COUNTY AMBULANCE DISTRICT NO 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-886-3317
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-0037
Mailing Address - Country:US
Mailing Address - Phone:660-886-3317
Mailing Address - Fax:660-886-3316
Practice Address - Street 1:354 W ARROW ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-1903
Practice Address - Country:US
Practice Address - Phone:660-886-3317
Practice Address - Fax:660-886-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO195006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800463606Medicaid
590077916Medicare PIN
9005423Medicare PIN