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EAST WAYNE COUNTY AMBULANCE DISTRICT
NPI 1063584506
Ambulance - Land Transport in Greenville, MO

Active since November 13, 2006CLIA 26D0891951 · Waiver
105 SYCAMORE ST., GREENVILLE, MO 63944(573) 224-5501(573) 224-5348 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About East Wayne County Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST WAYNE COUNTY AMBULANCE DISTRICT (NPI 1063584506) is a healthcare organization registered as a land transport in Greenville, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Glenda J Ridings, Medical Biller/bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1063584506
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEAST WAYNE COUNTY AMBULANCE DISTRICT
Location Address105 SYCAMORE ST.Greenville, MO 63944
Mailing AddressPo Box 173Greenville, MO 63944-0173 · (573) 224-5501 · Fax (573) 224-5348
Phone(573) 224-5501
Fax(573) 224-5348
Organization SubpartNo
Authorized OfficialGlenda J RidingsMedical Biller/bookkeeper · (573) 224-5501
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1063584506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MO · 223034
105 SYCAMORE ST., Greenville, MO 63944
Open in Google Maps ↗

Other Identifiers 1

Medicaid802414607MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0891951

East Wayne County Ambulance District · Greenville, MO
Active · expires Sep 20, 2026
CLIA Number26D0891951
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorKenneth C. Studyvin
Laboratory Phone(573) 224-5501
Laboratory LocationEast Wayne County Ambulance DistrictPO Box 173, Greenville, MO 63944
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
3,899 services95 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
122 services90 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
18 services16 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Wayne County Ambulance District's NPI number?

The NPI number for East Wayne County Ambulance District is 1063584506. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is East Wayne County Ambulance District located?

East Wayne County Ambulance District is located at 105 Sycamore St., Greenville, MO 63944. The listed phone number is (573) 224-5501.

What is East Wayne County Ambulance District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does East Wayne County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0891951) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Wayne County Ambulance District was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.