EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY NPI 1023146339

NPI Information

NPI: 1023146339
Provider Name: EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 26D0864803

Address:
4849 HIGHWAY 109
EUREKA, MO
ZIP 63025
Phone: (636) 938-5505
Get Directions

EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY is a land transport ambulance in Eureka, MO. EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY NPI is 1023146339. The provider is registered as an organization entity type.

The provider's business location address is:

4849 HIGHWAY 109
EUREKA, MO
ZIP 63025-737
Phone: (636) 938-5505
Fax: (636) 938-6970

The provider's authorized official is Gregory M Brown .
The authorized official title is Fire Chief Of District and has the following contact phone number (636) 935-5505.

The CLIA number assigned to this NPI record is 26D0864803 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	189049	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806240305	MEDICAID	MISSOURI
2	29825	OTHER		BLUE CROSS OF MISSOURI
3	590005916	OTHER	MISSOURI	MEDICARE - RAILROAD
4	000006401	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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