Organization Active NPI

City of Frontenac

Doing business as Frontenac Fire Department

  • Ambulance
  • Frontenac, MO
National Provider Identifier
1467770438
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
189473 Issued in MO
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809000198 MO Part B Supplier - Ambulance Service Supplier 3779616982 Practice locations: Frontenac, 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
26D1024504City of Frontenac Fire Department10555 Clayton Rd, Frontenac, MO 63131Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.