FLORISSANT VALLEY FIRE PRO DIST NPI 1720169303

NPI Information

NPI: 1720169303
Provider Name: FLORISSANT VALLEY FIRE PRO DIST
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
605 SAINT CATHERINE ST
FLORISSANT, MO
ZIP 63031
Phone: (800) 538-8278
Get Directions

FLORISSANT VALLEY FIRE PRO DIST is a land transport ambulance in Florissant, MO. FLORISSANT VALLEY FIRE PRO DIST NPI is 1720169303. The provider is registered as an organization entity type.

The provider's business location address is:

605 SAINT CATHERINE ST
FLORISSANT, MO
ZIP 63031-946
Phone: (800) 538-8278
Fax: (580) 628-2273

The provider's authorized official is Mark Flauter .
The authorized official title is Chief Medical Officer and has the following contact phone number (800) 538-8278.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 4/18/2024.

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	189472	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	805125903	MEDICAID	MISSOURI
2	129152	OTHER	MISSOURI	BCBS PROVIDER NUMBER
3	590014098	OTHER	MISSOURI	RRMC PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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