Active NPI
Florissant Valley Fire Pro Dist
- Land Ambulance
- Florissant, MO
National Provider Identifier
1720169303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 189472
- 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, 2026
- 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
- Mark Flauter
- Title
- Chief Medical Officer
- Phone
- (800) 538-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Dist
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Florissant, MO
- NPI 1063323640
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.
-
- Public Health or Welfare Agency
- Florissant, MO
- NPI 1063323640
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
- Florissant Pediatrics Inc
- Florissant Psychological Services, Inc.
- Florissant Retirement Investors, LLC
- Florissant Skilled Nursing, LLC (Lakeview Post Acute)
- Florissant Valley Fire Pro Dist
- Florssant County OB-GYN
- Flourish Home Health LLC
- Tashauna Deniesha Flutch, CNA
- Jada L Fonville-Simmons
- For the Love of Helen Mae LLC
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.