Provider Demographics
NPI:1164548509
Name:RIPLEY COUNTY AMBULANCE DISTRICT
Entity type:Organization
Organization Name:RIPLEY COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN - BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-996-7551
Mailing Address - Street 1:1003 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-1337
Mailing Address - Country:US
Mailing Address - Phone:573-996-7551
Mailing Address - Fax:573-996-1984
Practice Address - Street 1:1003 WALNUT ST
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-1337
Practice Address - Country:US
Practice Address - Phone:573-996-7551
Practice Address - Fax:573-996-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1810213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport