Lincoln County Amb Dist

LBN: Lincoln County Amb Dist
Lincoln County Amb Dist is an health care organization with primary practice located at 1392 South 3Rd St , Troy MO 63379. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Lincoln County Amb Dist can be contacted via phone (636) 528-8488, or through Antonacci, Ray via phone (636) 295-2186.

Contact Information

Primary practice address
1392 South 3Rd St Troy MO 63379
Fax: (636) 528-6828
Website:
Authorized official contact:
Name: Antonacci, Ray

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 113000 Missouri

Profile Details

NPI number 1063419620
LBN Legal business name Lincoln County Amb Dist
DBA Doing business as
Authorized official Antonacci, Ray
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Jan 7th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063419620 NPPES
Missouri MEDICAID 800459802

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