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COOPER COUNTY MEMORIAL HOSPITAL
NPI 1851593479
Ambulance - Land Transport in Boonville, MO

Active since June 05, 2007CLIA 26D2208999 · Waiver
17651 B HIGHWAY, BOONVILLE, MO 65233(660) 882-4105(660) 882-8108 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cooper County Memorial Hospital NPPES

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

COOPER COUNTY MEMORIAL HOSPITAL (NPI 1851593479) is a healthcare organization registered as a land transport in Boonville, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Pat Oswald, Director, as its authorized official.

NPPES Registry Identity

NPI1851593479
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOOPER COUNTY AMBULANCE DISTRICT
Location Address17651 B HIGHWAYBoonville, MO 65233
Mailing AddressPo Box 414Boonville, MO 65233 · (660) 882-4105 · Fax (660) 882-8108
Phone(660) 882-4105
Fax(660) 882-8108
Organization SubpartNo
Authorized OfficialPat OswaldDirector · (660) 882-4105
Enumeration DateJune 5, 2007
Last NPPES UpdateJune 16, 2014
✔ NPI 1851593479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MO · 053007
Also ListedAmbulanceTaxonomy 341600000X · License 24836 (MO)
17651 B HIGHWAY, Boonville, MO 65233
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Other Names 1

Other NameCooper County Memorial Hospital

Other Identifiers 2

Medicaid800328502MO
Medicare ID-Type Unspecified260004MO · Ambulance

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 26D2208999

Cooper County Ambulance District · Boonville, MO
Active · expires Jan 10, 2027
CLIA Number26D2208999
Laboratory TypeAmbulance
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorBrandon Hicks
Laboratory Phone(660) 882-3380
Laboratory LocationCooper County Ambulance District604 Rankin Mill Ln, Boonville, MO 65233
CLIA data matches this NPI record on: Name
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.
12,208 services289 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.
266 services206 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.
163 services117 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 Cooper County Ambulance District's NPI number?

The NPI number for Cooper County Ambulance District is 1851593479. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is also known as Cooper County Memorial Hospital.

Where is Cooper County Ambulance District located?

Cooper County Ambulance District is located at 17651 B Highway, Boonville, MO 65233. The listed phone number is (660) 882-4105.

What is Cooper County Ambulance District's specialty?

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

Does Cooper County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2208999) is associated with this NPI, valid through January 10, 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 Cooper County Ambulance District was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.