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SOUTH SCOTT COUNTY AMBULANCE
NPI 1780888255
Ambulance in Sikeston, MO

Active since June 11, 2007CLIA 26D1004414 · Waiver
202 LILLIAN DR, SIKESTON, MO 63801(573) 472-4161 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Scott County Ambulance NPPES

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

SOUTH SCOTT COUNTY AMBULANCE (NPI 1780888255) is a healthcare organization registered as an ambulance in Sikeston, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Kenneth Dicus, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1780888255
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameSOUTH SCOTT COUNTY AMBULANCE
Location Address202 LILLIAN DRSikeston, MO 63801-2236
Mailing Address202 Lillian DrSikeston, MO 63801-2236
Phone(573) 472-4161
Organization SubpartNo
Authorized OfficialKenneth DicusEms Director · (573) 472-4161
Enumeration DateJune 11, 2007
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1780888255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
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).
202 LILLIAN DR, Sikeston, MO 63801
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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 26D1004414

South Scott County Ambulance District · Sikeston, MO
Active · expires Sep 25, 2026
CLIA Number26D1004414
Laboratory TypeAmbulance
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorBrad Golden
Laboratory Phone(573) 472-4161
Laboratory LocationSouth Scott County Ambulance District202 Lillian Drive, Sikeston, MO 63801
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 6

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.
19,287 services658 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.
583 services420 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.
305 services211 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.
181 services160 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 services32 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
25 services24 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 South Scott County Ambulance's NPI number?

The NPI number for South Scott County Ambulance is 1780888255. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is South Scott County Ambulance located?

South Scott County Ambulance is located at 202 Lillian Dr, Sikeston, MO 63801. The listed phone number is (573) 472-4161.

What is South Scott County Ambulance's specialty?

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

Does South Scott County Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1004414) is associated with this NPI, valid through September 25, 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 South Scott County Ambulance was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.