Northeast Ambulance and Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189260 Issued in MO

Legal business name

NORTHEAST AMBULANCE AND FIRE PROTECTION DISTRICT

Practice address

7100 Natural Bridge Rd
Saint Louis, MO 63121-5144

Phone

(314) 382-1501

Fax

(314) 382-7202

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Derek Mays

Title

Board Member

Phone

(314) 382-1501

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Normandy Fire Protection District Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1740268341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 PASADENA BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212916",
            "telephone_number": "314-382-1501",
            "fax_number": "314-382-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215144",
            "telephone_number": "314-382-1501",
            "fax_number": "314-382-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST AMBULANCE AND FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "314-382-1501"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PROVIDER NO.",
            "identifier": "34156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREUSA PROV NO.",
            "identifier": "8497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER NO.",
            "identifier": "106320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801398108",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NO.",
            "identifier": "81-80021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "121700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROV. NO.",
            "identifier": "590000417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Normandy Fire Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Land Ambulance in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.