Active NPI
West County EMS and Fire Protection District
- Land Ambulance
- Manchester, MO
National Provider Identifier
1699851683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 189146
- Legal business name
- WEST COUNTY EMS AND FIRE PROTECTION DISTRICT
- Practice address
- 223 Henry Ave
Manchester, MO 63011-4019 - Phone
- (800) 538-8278
- Fax
- (580) 628-2273
- NPI assigned
- Oct 31, 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
- Jeffrey Sadtler
- Title
- Assistant Chief
- Phone
- (636) 256-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 189146 | MO | Primary |
Addresses
Primary practice location
223 Henry Ave
Manchester, MO 63011-4019
Mailing address
223 Henry Ave.
Manchester, MO 63011
Phone (636) 227-9350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805121407 | Medicaid | MO | |
| 590014194 | Other | MO | RRMC PROVIDER NUMBER |
| 29854 | Other | MO | BCBS 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 |
|---|---|---|---|---|
| O20050429000221 | MO | Part B Supplier - Ambulance Service Supplier | 5092754952 | Practice locations: Manchester, MO; Saint Louis, 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 |
|---|---|---|---|
| 26D0436902 | West County EMS and Fire Protection District | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
13790 Manchester Rd
Manchester, MO 63011
Phone (636) 256-2032
223 Henry Ave
Manchester, MO 63011
Phone (636) 227-9350
13443 Clayton Rd
Saint Louis, MO 63131
Phone (636) 256-2033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375142400000",
"number": "1699851683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 HENRY AVE.",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-227-9350",
"fax_number": "636-227-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 HENRY AVE",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "630114019",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COUNTY EMS AND FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2013-07-30",
"status": "A",
"authorized_official_last_name": "SADTLER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "636-256-2001"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "189146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805121407",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PROVIDER NUMBER",
"identifier": "590014194",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "29854",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.