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South Scott County Ambulance

NPI 1780888255ActiveOrganization· Ambulance· Sikeston, MO

Ambulance in Sikeston, Missouri, registered in NPPES in June 2007. The authorized official on file is Kenneth Dicus, Ems Director. Medicare paid $535,964 for services to 660 patients in 2024.

Overview

NPI1780888255
StatusActive
Entity typeOrganization
NPI issuedJun 11, 2007
Last updated in NPPESApr 18, 2023
Certified by providerApr 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (MO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients660
Services billed20,413 across 6 procedure codes
Paid by Medicare$535,964

Medicare sources and data years