Provider Demographics
NPI:1992856504
Name:JOACHIM PLATTIN TOWNSHIPS AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:JOACHIM PLATTIN TOWNSHIPS AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:STUEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-937-2224
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:619 COLLINS AVE
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-0124
Mailing Address - Country:US
Mailing Address - Phone:636-937-2224
Mailing Address - Fax:
Practice Address - Street 1:619 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028
Practice Address - Country:US
Practice Address - Phone:636-937-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0990583416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800460107Medicaid
MO000007448Medicare ID - Type Unspecified