Organization Active NPI

North Jefferson County Ambulance District

  • Land Ambulance
  • High Ridge, MO
National Provider Identifier
1093711095
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH JEFFERSON COUNTY AMBULANCE DISTRICT
Practice address
3131 Rock Creek Rd
High Ridge, MO 63049-3102
Phone
(636) 677-3399
NPI assigned
Jun 23, 2005
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Jamie Irwin Guinn
Title
Chief
Phone
(270) 293-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3131 Rock Creek Rd
High Ridge, MO 63049-3102

Mailing address

3131 Rock Creek Rd
High Ridge, MO 63049-3102
Phone (636) 677-3399

Other identifiers 2

IdentifierTypeStateIssuer
590155622OtherMORAILROAD MEDICARE
800463002MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000006 MO Part B Supplier - Ambulance Service Supplier 2769465699 Practice locations: High Ridge, MO

National Provider Directory

National Provider Directory

Locations

2820 Horrell Ln
High Ridge, MO 63049
Phone 636677339910

3131 Rock Creek Rd
High Ridge, MO 63049
Phone (636) 677-3399

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1093711095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ROCK CREEK RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630493102",
            "telephone_number": "636-677-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 ROCK CREEK RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630493102",
            "telephone_number": "636-677-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JEFFERSON COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "270-293-9533"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590155622",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800463002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Ridge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.