Active NPI
City of Kirkwood
- Land Ambulance
- Kirkwood, MO
National Provider Identifier
1558445593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 189111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00052509 | Other | MO | RRMC PROVIDER NUMBER |
| 179258 | Other | MO | BC/BS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080723000224 | MO | Part B Supplier - Ambulance Service Supplier | 3375616469 | Practice locations: Kirkwood, MO |
National Provider Directory
National Provider DirectoryLocations
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.