Organization Active NPI

City of Clayton Attn Finance Department

  • Land Ambulance
  • Clayton, MO
National Provider Identifier
1174696702
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590007477OtherMORAILROAD MEDICARE
29789OtherMOBLUE CROSS BLUE SHIELD
803286301MedicaidMO

Other names 1

  • City of Clayton Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000948 MO Part B Supplier - Ambulance Service Supplier 2163680216 Practice locations: Clayton, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0925878City of Clayton Fire Department10 North Bemiston Avenue, Clayton, MO 63105Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.