Organization Active NPI

Florissant Valley Fire Pro Dist

  • Public Health or Welfare Agency
  • Florissant, MO
National Provider Identifier
1063323640
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORISSANT VALLEY FIRE PRO DIST
Practice address
661 Saint Ferdinand St
Florissant, MO 63031-5124
Phone
(800) 538-8278
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORISSANT VALLEY FIRE PRO DISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Mark A. Flauter
Title
Chief Medical Officer
Phone
(314) 837-4894

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146E00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

661 Saint Ferdinand St
Florissant, MO 63031-5124

Mailing address

661 Saint Ferdinand St
Florissant, MO 63031-5124
Phone (800) 538-8278

Other identifiers 1

IdentifierTypeStateIssuer
805125903MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Florissant Valley Fire Pro Dist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1063323640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315124",
            "telephone_number": "800-538-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315124",
            "telephone_number": "800-538-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT VALLEY FIRE PRO DIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORISSANT VALLEY FIRE PRO DIST",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "FLAUTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "314-837-4894"
    },
    "taxonomies": [
        {
            "code": "146E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805125903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.