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MARTHASVILLE COMMUNITY AMBULANCE DISTRICT
NPI 1770568743
Ambulance - Land Transport in Marthasville, MO

Active since December 13, 2005CLIA 26D0962710 · Waiver
200 SOUTH STREET, MARTHASVILLE, MO 63357(636) 433-5262(636) 433-5902 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marthasville Community Ambulance District NPPES

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

MARTHASVILLE COMMUNITY AMBULANCE DISTRICT (NPI 1770568743) is a healthcare organization registered as a land transport in Marthasville, Missouri and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Larry Brewe, Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1770568743
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMARTHASVILLE COMMUNITY AMBULANCE DISTRICT
Location Address200 SOUTH STREETMarthasville, MO 63357-0182
Mailing AddressPo Box 182Marthasville, MO 63357-0182 · (636) 433-5262 · Fax (636) 433-5902
Phone(636) 433-5262
Fax(636) 433-5902
Organization SubpartNo
Authorized OfficialLarry BreweBoard Chairman · (636) 433-5262
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770568743 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 · 219011
200 SOUTH STREET, Marthasville, MO 63357
Open in Google Maps ↗

Other Identifiers 4

Other112638Healthlink
Other33558Ghp
Other146442Bcbs
Other8181643Uhc

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 26D0962710

Marthasville Community Ambulance Dist · Marthasville, MO
Active · expires Jul 11, 2027
CLIA Number26D0962710
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorMike Eskew
Laboratory Phone(636) 433-5262
Laboratory LocationMarthasville Community Ambulance Dist200 South One Street, Marthasville, MO 63357
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
644 services26 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.
22 services18 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 Marthasville Community Ambulance District's NPI number?

The NPI number for Marthasville Community Ambulance District is 1770568743. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Marthasville Community Ambulance District located?

Marthasville Community Ambulance District is located at 200 South Street, Marthasville, MO 63357. The listed phone number is (636) 433-5262.

What is Marthasville Community Ambulance District's specialty?

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

Does Marthasville Community Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0962710) is associated with this NPI, valid through July 11, 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 Marthasville Community Ambulance District was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.