BLACK JACK FIRE PROTECTION DIST is a land transport ambulance in Florissant, MO. BLACK JACK FIRE PROTECTION DIST NPI is 1043091176. The provider is registered as an organization entity type. The provider Is Doing Business As Black Jack Fire Protection District.
The provider's business location address is:
5675 N HIGHWAY 67 FLORISSANT, MO ZIP 63034-603 Phone: (314) 741-9905
The provider's authorized official is Andrew M Kerckhoff . The authorized official title is Deputy Chief Medical Officer and has the following contact phone number (314) 741-9905.
The CLIA number assigned to this NPI record is 26D2082543 - other - fire protection dist with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/13/2023 and was last updated on 11/29/2023.
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:
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: 11/21/2025
NPI Synchronization or Removal
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