Organization Active NPI

Lemay Fire Department

  • Land Ambulance
  • Saint Louis, MO
National Provider Identifier
1710061775
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
189391 Issued in MO
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

Updated by the provider on Jun 15, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590010684OtherMORRMC PROVIDER NUMBER
808663009MedicaidMO
112128OtherMOBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000762 MO Part B Supplier - Ambulance Service Supplier 5698843019 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.