EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY NPI 1023146339

Ambulance (Land Transport) in Eureka, MO

About EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY

Eureka Fire Protection District Of St. Louis County is a provider in Eureka, MO. The NPI number assigned to this provider is 1023146339. The practitioner's primary taxonomy code is Ambulance (3416L0300X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI

1023146339

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
Provider Location Address4849 HIGHWAY 109 EUREKA, MO 63025 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 796008 SAINT LOUIS, MO 63179 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-19-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
4849 HIGHWAY 109
EUREKA, MO
ZIP 63025
Phone: (636) 938-5505
Fax: (636) 938-6970
Get Directions

Mailing Address

EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
PO BOX 796008
SAINT LOUIS, MO
ZIP 63179
Phone: (636) 938-5505
Fax: (636) 938-6970

Primary Taxonomy

Taxonomy Code3416L0300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.189049
License StateMO

Authorized Official

Authorized Official Name GREGORY M BROWN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleFIRE CHIEF OF DISTRICT
Authorized Official Phone(636) 935-5505

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
806240305MEDICAID (05)MO
29825OTHER (01)
590005916OTHER (01)MO
000006401MEDICARE ID-TYPE UNSPECIFIED (04)MO

Map Location


EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY address is 4849 HIGHWAY 109 EUREKA, MO 63025
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