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MADISON COUNTY AMBULANCE DISTRICT
NPI 1760630032
Ambulance in Fredericktown, MO

Active since August 28, 2008CLIA 26D1099699 · Waiver
126 RIVER BLUFF DR, FREDERICKTOWN, MO 63645(573) 783-7900(573) 783-5456 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison County Ambulance District NPPES

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

MADISON COUNTY AMBULANCE DISTRICT (NPI 1760630032) is a healthcare organization registered as an ambulance in Fredericktown, Missouri and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Peggy Mckim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760630032
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMADISON COUNTY AMBULANCE DISTRICT
Location Address126 RIVER BLUFF DRFredericktown, MO 63645-6364
Mailing AddressPo Box 492Fredericktown, MO 63645-0492 · (573) 783-2552
Phone(573) 783-7900
Fax(573) 783-5456
Organization SubpartNo
Authorized OfficialPeggy MckimOffice Manager · (573) 783-7900
Enumeration DateAugust 28, 2008
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1760630032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MO · PENDING
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
126 RIVER BLUFF DR, Fredericktown, MO 63645
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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 26D1099699

Madison County Ambulance District · Fredericktown, MO
Active · expires May 18, 2027
CLIA Number26D1099699
Laboratory TypeAmbulance
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorShayne Keddy
Laboratory Phone(573) 783-7900
Laboratory LocationMadison County Ambulance District126 River Bluff Drive, Fredericktown, MO 63645
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 5

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.
8,285 services230 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.
196 services147 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.
80 services70 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
47 services43 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
32 services30 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 Madison County Ambulance District's NPI number?

The NPI number for Madison County Ambulance District is 1760630032. It was assigned to this organization in the NPPES registry on August 28, 2008.

Where is Madison County Ambulance District located?

Madison County Ambulance District is located at 126 River Bluff Dr, Fredericktown, MO 63645. The listed phone number is (573) 783-7900.

What is Madison County Ambulance District's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Madison County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1099699) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison County Ambulance District was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.