Organization Active NPI

City of Kirkwood

  • Land Ambulance
  • Kirkwood, MO
National Provider Identifier
1558445593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
189111 Issued in MO
Legal business name
CITY OF KIRKWOOD
Practice address
139 S Kirkwood Rd
Kirkwood, MO 63122-4303
Phone
(800) 538-8278
Fax
(580) 628-2273
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Adams
Title
Accountant
Phone
(800) 538-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 189111 MO Primary

Addresses

Primary practice location

139 S Kirkwood Rd
Kirkwood, MO 63122-4303

Mailing address

PO Box 220579
Kirkwood, MO 63122-0579
Phone (800) 538-8278

Other identifiers 2

IdentifierTypeStateIssuer
P00052509OtherMORRMC PROVIDER NUMBER
179258OtherMOBC/BS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000224 MO Part B Supplier - Ambulance Service Supplier 3375616469 Practice locations: Kirkwood, MO

National Provider Directory

National Provider Directory

Locations

11804 Big Bend Rd
Kirkwood, MO 63122
Phone (314) 821-0018

1321 W Essex Ave
Kirkwood, MO 63122
Phone (314) 822-7866

137 W Argonne Dr
Kirkwood, MO 63122
Phone (314) 822-5884

139 S Kirkwood Rd
Saint Louis, MO 63122

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558445593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220579",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631220579",
            "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": "139 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224303",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIRKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "800-538-8278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PROVIDER NUMBER",
            "identifier": "P00052509",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "179258",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.