Active NPI
City of Frontenac
Doing business as Frontenac Fire Department
- Ambulance
- Frontenac, MO
National Provider Identifier
1467770438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 189473
- Legal business name
- CITY OF FRONTENAC
- Doing business as
- Frontenac Fire Department
- Practice address
- 10555 Clayton Rd
Frontenac, MO 63131-2915 - Phone
- (314) 373-6520
- NPI assigned
- May 14, 2010
- Last updated
- May 14, 2010
- 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
- Jack Trout
- Title
- Chief
- Phone
- (314) 373-6520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 189473 | MO | Primary |
Addresses
Primary practice location
10555 Clayton Rd
Frontenac, MO 63131-2915
Mailing address
3763 Solutions Dr
Chicago, IL 60677-0001
Phone (937) 291-2892
Other names 1
- Frontenac 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 |
|---|---|---|---|---|
| O20100809000198 | MO | Part B Supplier - Ambulance Service Supplier | 3779616982 | Practice locations: Frontenac, 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 |
|---|---|---|---|
| 26D1024504 | City of Frontenac Fire Department | Certificate of waiver | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
3763 Solutions Ctr
Chicago, IL 60677
10555 Clayton Rd
Saint Louis, MO 63131
Phone (314) 373-6505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273795200000",
"number": "1467770438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3763 SOLUTIONS DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "937-291-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 CLAYTON RD",
"city": "FRONTENAC",
"state": "MO",
"postal_code": "631312915",
"telephone_number": "314-373-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF FRONTENAC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-14",
"last_updated": "2010-05-14",
"status": "A",
"authorized_official_last_name": "TROUT",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "314-373-6520"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MO",
"license": "189473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Frontenac Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frontenac, MO
- Apexnetwork Medical Group
- Artemis Physician Network
- Avalcare Inc
- Julie Bergfeld, COACH
- Megan Brusca, DPT
- Trenton Parker Civello, DC
- Donald Respess, PSYD, LLC
- Ashley Kell Frederic, FNP-BC
- Frontenac Ambulatory Surgery & Spine Care Center LP (Frontenac Surgery & Spine Care Center)
- Gateway Pain Center Inc (Injury Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.