Provider Demographics
NPI:1922073519
Name:GREATER JOPLIN AREA EMERGENCY MEDICAL SERVICES SYSTEM INC
Entity Type:Organization
Organization Name:GREATER JOPLIN AREA EMERGENCY MEDICAL SERVICES SYSTEM INC
Other - Org Name:METS AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-623-3347
Mailing Address - Street 1:625 S VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-2328
Mailing Address - Country:US
Mailing Address - Phone:417-623-3347
Mailing Address - Fax:417-623-4022
Practice Address - Street 1:625 S VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-2328
Practice Address - Country:US
Practice Address - Phone:417-623-3347
Practice Address - Fax:417-623-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0970043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO801684507Medicaid
MO000007181Medicare PIN