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MONTGOMERY COUNTY AMBULANCE DISTRICT
NPI 1932114584
Ambulance in Montgomery City, MO

Active since July 30, 2006CLIA 26D0919595 · Waiver
911 BENTON ST, MONTGOMERY CITY, MO 63361(573) 564-3829(573) 564-2516 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Aug 25, 2020, Oct 18, 2016 (3 updates tracked since 2016).

About Montgomery County Ambulance District NPPES

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

MONTGOMERY COUNTY AMBULANCE DISTRICT (NPI 1932114584) is a healthcare organization registered as an ambulance in Montgomery City, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists William Burke, Administrator, as its authorized official.

NPPES Registry Identity

NPI1932114584
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMONTGOMERY COUNTY AMBULANCE DISTRICT
Location Address911 BENTON STMontgomery City, MO 63361-1318
Mailing AddressPo Box 103Montgomery City, MO 63361-0103 · (573) 564-3829 · Fax (573) 564-2516
Phone(573) 564-3829
Fax(573) 564-2516
Organization SubpartNo
Authorized OfficialWilliam BurkeAdministrator · (573) 564-3829
Enumeration DateJuly 30, 2006
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1932114584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MO · 139009
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).
911 BENTON ST, Montgomery City, MO 63361
Open in Google Maps ↗

Other Identifiers 5

Medicaid800546400MO
Medicaid8473KY
Other105923MO · Healthlink-commercial Ins
Other29831MO · Bcbs-commercial Ins.
Medicaid1097558KY

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 26D0919595

Montgomery County Ambulance Dist · Montgomery City, MO
Active · expires Sep 11, 2026
CLIA Number26D0919595
Laboratory TypeOther
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorWilliam Burke
Laboratory Phone(573) 564-3829
Laboratory LocationMontgomery County Ambulance Dist911 Benton St, Montgomery City, MO 63361
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 4

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.
16,665 services208 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.
191 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.
126 services90 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.
42 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 Montgomery County Ambulance District's NPI number?

The NPI number for Montgomery County Ambulance District is 1932114584. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Montgomery County Ambulance District located?

Montgomery County Ambulance District is located at 911 Benton St, Montgomery City, MO 63361. The listed phone number is (573) 564-3829.

What is Montgomery County Ambulance District's specialty?

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

Does Montgomery County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0919595) is associated with this NPI, valid through September 11, 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 Montgomery County Ambulance District was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.