Affton Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189413 Issued in MO

Legal business name

AFFTON FIRE PROTECTION DISTRICT

Practice address

9282 Gravois Rd
Affton, MO 63123-4526

Phone

(314) 631-1803

Fax

(314) 353-7679

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

John F Rausch

Title

Fire Chief

Phone

(314) 631-1803

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1235110792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "314-631-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9282 GRAVOIS RD",
            "city": "AFFTON",
            "state": "MO",
            "postal_code": "631234526",
            "telephone_number": "314-631-1803",
            "fax_number": "314-353-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFTON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "314-631-1803"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREUSA PROV. NO.",
            "identifier": "17919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV. #",
            "identifier": "8182116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "122372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PROVIDER NO.",
            "identifier": "33911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER NO.",
            "identifier": "412155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elvira Ademovic
• Farah Alhalabi
• Redona Apostoli, RBT
• Sarah Auer
• Natasha Austin
• Dasiah Alexandria Bolden

• All providers in Affton, MO
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.