Eureka Fire Protection District of St. Louis County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189049 Issued in MO

Legal business name

EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY

Practice address

4849 Highway 109
Eureka, MO 63025-3737

Phone

(636) 938-5505

Fax

(636) 938-6970

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory M Brown

Title

Fire Chief of District

Phone

(636) 935-5505

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1023146339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796008",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631796000",
            "telephone_number": "636-938-5505",
            "fax_number": "636-938-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 HIGHWAY 109",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253737",
            "telephone_number": "636-938-5505",
            "fax_number": "636-938-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF OF DISTRICT",
        "authorized_official_telephone_number": "636-935-5505"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RAILROAD",
            "identifier": "590005916",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806240305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MISSOURI",
            "identifier": "29825",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Dowil, OTRL CHT
• John J Dubois, D.O.
• Angela D Duesing
• Lisa Durham, O.D.
• Brittany Nichole Eaton, NP
• Eureka Medical LLC
• Eureka Pain Clinic LLC
• Eureka Pediatrics
• Eureka Physical Therapy
• Eureka Play Therapy

• Land Ambulance in Eureka, MO
• Providers in Eureka, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.