Provider Demographics
NPI:1174556146
Name:BIG RIVER AMBULANCE DISTRICT
Entity type:Organization
Organization Name:BIG RIVER AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-274-3964
Mailing Address - Street 1:PO BOX 348
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63016-0348
Mailing Address - Country:US
Mailing Address - Phone:636-274-3964
Mailing Address - Fax:636-274-3652
Practice Address - Street 1:6327 LORENS LN
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:MO
Practice Address - Zip Code:63016-2243
Practice Address - Country:US
Practice Address - Phone:636-274-3964
Practice Address - Fax:636-274-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0990663416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport