Organization Active NPI

West County EMS and Fire Protection District

  • Land Ambulance
  • Manchester, MO
National Provider Identifier
1699851683
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
189146 Issued in MO
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

Updated by the provider on Jul 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
805121407MedicaidMO
590014194OtherMORRMC PROVIDER NUMBER
29854OtherMOBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000221 MO Part B Supplier - Ambulance Service Supplier 5092754952 Practice locations: Manchester, MO; Saint Louis, 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
26D0436902West County EMS and Fire Protection District223 Henry Avenue, Manchester, MO 63011Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.