Active NPI
Lemay Fire Department
- Land Ambulance
- Saint Louis, MO
National Provider Identifier
1710061775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 189391
- Legal business name
- LEMAY FIRE DEPARTMENT
- Practice address
- 1201 Telegraph Rd
Saint Louis, MO 63125-2529 - 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
- Glen Barton
- Title
- Lieutenant Medical Officer
- Phone
- (314) 631-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 189391 | MO | Primary |
Addresses
Primary practice location
1201 Telegraph Rd
Saint Louis, MO 63125-2529
Mailing address
PO Box 260196
Saint Louis, MO 63126-8196
Phone (800) 538-8278
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590010684 | Other | MO | RRMC PROVIDER NUMBER |
| 808663009 | Medicaid | MO | |
| 112128 | 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 |
|---|---|---|---|---|
| O20081010000762 | MO | Part B Supplier - Ambulance Service Supplier | 5698843019 | Practice locations: Saint Louis, MO |
National Provider Directory
National Provider DirectoryLocations
1201 Telegraph Rd
Saint Louis, MO 63125
Phone (314) 631-4500
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": "1686787200000",
"number": "1710061775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260196",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631268196",
"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": "1201 TELEGRAPH RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631252529",
"telephone_number": "800-538-8278",
"fax_number": "580-628-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEMAY FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "GLEN",
"authorized_official_title_or_position": "LIEUTENANT MEDICAL OFFICER",
"authorized_official_telephone_number": "314-631-4500"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "189391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PROVIDER NUMBER",
"identifier": "590010684",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808663009",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "112128",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.