NPI 1063584506

East Wayne County Ambulance District

Organisation Land Ambulance Greenville, MO

Practice location

Address: 105 Sycamore St., Greenville, MO 63944
Phone: (573) 224-5501
Fax: (573) 224-5348
Mailing address: PO Box 173, Greenville, MO 63944-0173

Authorised official

Name: Glenda J Ridings
Title: Medical Biller/Bookkeeper
Phone: (573) 224-5501

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 223034 (MO)

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Registry record

NPI: 1063584506
Entity type: Organization
NPI issued: 13 Nov 2006
Record last updated: 3 Jan 2024

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.