NPI 1063419620

Lincoln County Amb Dist

Organisation Land Ambulance Troy, MO

Practice location

Address: 1392 South 3rd St, Troy, MO 63379
Phone: (636) 528-8488
Fax: (636) 528-6828
Mailing address: PO Box 157, Troy, MO 63379-0157

Authorised official

Name: Ray Antonacci
Title: Chief Administrator
Phone: (636) 295-2186

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 113000 (MO)

Other Ambulance providers in Missouri →

Registry record

NPI: 1063419620
Entity type: Organization
NPI issued: 28 Jun 2005
Record last updated: 7 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.