Provider Demographics
NPI:1578569802
Name:SCHUYLER COUNTY AMBULANCE DISTRICT
Entity type:Organization
Organization Name:SCHUYLER COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/SECRETARY TO BOARD
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WADDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-303-6570
Mailing Address - Street 1:16901 US HIGHWAY 63
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MO
Mailing Address - Zip Code:63548-4249
Mailing Address - Country:US
Mailing Address - Phone:660-303-6570
Mailing Address - Fax:660-303-6631
Practice Address - Street 1:16901 US HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MO
Practice Address - Zip Code:63548-4249
Practice Address - Country:US
Practice Address - Phone:660-303-6570
Practice Address - Fax:660-303-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO800461303Medicaid