Active NPI
City of Clayton Attn Finance Department
- Land Ambulance
- Clayton, MO
National Provider Identifier
1174696702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF CLAYTON ATTN FINANCE DEPARTMENT
- Practice address
- 10 N Bemiston Ave
Clayton, MO 63105-3304 - Phone
- (314) 290-8485
- Fax
- (314) 721-9567
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla Pacanowski
- Title
- Asst Finance Director
- Phone
- (314) 290-8452
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 071064 | MO | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
10 N Bemiston Ave
Clayton, MO 63105-3304
Mailing address
10 N Bemiston Ave
Clayton, MO 63105-3304
Phone (314) 290-8485
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007477 | Other | MO | RAILROAD MEDICARE |
| 29789 | Other | MO | BLUE CROSS BLUE SHIELD |
| 803286301 | Medicaid | MO |
Other names 1
- City of Clayton Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000948 | MO | Part B Supplier - Ambulance Service Supplier | 2163680216 | Practice locations: Clayton, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0925878 | City of Clayton Fire Department | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
10 N Bemiston Ave
Saint Louis, MO 63105
Phone (314) 290-8485
7447 Dale Ave
Saint Louis, MO 63117
Phone (314) 645-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1174696702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N BEMISTON AVE",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053304",
"telephone_number": "314-290-8485",
"fax_number": "314-721-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N BEMISTON AVE",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053304",
"telephone_number": "314-290-8485",
"fax_number": "314-721-9567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CLAYTON ATTN FINANCE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "PACANOWSKI",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "ASST FINANCE DIRECTOR",
"authorized_official_telephone_number": "314-290-8452"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "071064",
"primary": false
},
{
"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": "590007477",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29789",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "803286301",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Clayton Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.