Creve Coeur Fire Protection Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189014 Issued in MO

Legal business name

CREVE COEUR FIRE PROTECTION DIST

Practice address

11221 Olive Blvd
Creve Coeur, MO 63141-7652

Phone

(800) 538-8278

Fax

(580) 628-2273

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Larry Ashby

Title

Fire Chief

Phone

(800) 538-8278

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1467533125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417652",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417652",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVE COEUR FIRE PROTECTION DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "800-538-8278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805691607",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PROVIDER NUMBER",
            "identifier": "590015080",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "122081",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courier Healthcare Systems, Inc.
• Victoria Lynn Courts, MSOT, OTR/L
• Create Health & Wellness LLC
• Ashley L Crecelius, OTR/L
• Creve Coeur Family Medicine, LLC
• Creve Coeur Internal Medicine, LLC
• Creve Coeur Periodontics, Inc.
• Creve Coeur Surgery Center LLC
• Creve Coeur Surgery Center, LLC
• Gail Christine Crofton, R.D., L.D., CDE

• Land Ambulance in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.