Organization Active NPI

Florissant Valley Fire Pro Dist

  • Land Ambulance
  • Florissant, MO
National Provider Identifier
1720169303
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
189472 Issued in MO
Legal business name
FLORISSANT VALLEY FIRE PRO DIST
Practice address
661 Saint Ferdinand St
Florissant, MO 63031-5124
Phone
(800) 538-8278
Fax
(580) 628-2273
NPI assigned
Oct 18, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Flauter
Title
Chief Medical Officer
Phone
(800) 538-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 189472 MO Primary

Addresses

Primary practice location

661 Saint Ferdinand St
Florissant, MO 63031-5124

Mailing address

661 Saint Ferdinand St
Florissant, MO 63031-5124
Phone (800) 538-8278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051220000692 MO Part B Supplier - Ambulance Service Supplier 5890717722 Practice locations: Florissant, MO

National Provider Directory

National Provider Directory
Tax ID family
Florissant Valley Fire Dist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1910 Shackelford Rd
Florissant, MO 63031
Phone (314) 837-4897

661 Saint Ferdinand St
Florissant, MO 63031
Phone (314) 837-4864

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1720169303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315124",
            "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": "661 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315124",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT VALLEY FIRE PRO DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "FLAUTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "800-538-8278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.