West Overland Fire Protection Dist of St Louis County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189189 Issued in MO

Legal business name

WEST OVERLAND FIRE PROTECTION DIST OF ST LOUIS COUNTY

Practice address

10789 Midland Blvd
Saint Louis, MO 63114-1839

Phone

(314) 428-6069

Fax

(314) 428-3114

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Michael Marlo

Title

Chief

Phone

(314) 428-6069

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1871577411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501157",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10789 MIDLAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141839",
            "telephone_number": "314-428-6069",
            "fax_number": "314-428-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OVERLAND FIRE PROTECTION DIST OF ST LOUIS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MARLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "314-428-6069"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PROVIDER NO.",
            "identifier": "33608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "8181099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "590012870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "119728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREUSA PROVIDER NO",
            "identifier": "9019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801179805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West End Chiropractic & Rehab Center
• West End Clinic
• West End Eyes
• West End Internal Medicine
• West Medical Services
• West Physical Therapy, LLC
• West Professional Enterprises, Inc
• Carmelita D West, LPC
• Daniel Aaron West, MD
• Daryl West

• 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 May 1, 2013; 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.