Provider Demographics
NPI:1760299184
Name:CEDAR COUNTY AMBULANCE DIST INC
Entity type:Organization
Organization Name:CEDAR COUNTY AMBULANCE DIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:417-262-0345
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:MO
Mailing Address - Zip Code:65785-0669
Mailing Address - Country:US
Mailing Address - Phone:417-276-2000
Mailing Address - Fax:417-276-2003
Practice Address - Street 1:319 ENGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:MO
Practice Address - Zip Code:65785-9601
Practice Address - Country:US
Practice Address - Phone:417-276-2000
Practice Address - Fax:417-276-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance