Active NPI
City of St Louis
- Ambulance
- St Louis, MO
National Provider Identifier
1952490682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF ST LOUIS
- Practice address
- 2634 Hampton Avenue
City of St Louis Emergency Medical Services
St Louis, MO 63139-2913 - Phone
- (314) 646-7108
- Fax
- (314) 645-4556
- NPI assigned
- Oct 12, 2006
- 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
- Dennis M Jenkerson
- Title
- Fire Chief
- Phone
- (314) 533-3406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2634 Hampton Avenue
City of St Louis Emergency Medical Services
St Louis, MO 63139-2913
Mailing address
PO Box 956134
St Louis, MO 63195-6135
Phone (314) 645-5639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800626608 | Medicaid | MO |
Other names 1
- City of St Louis Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050125001122 | MO | Part B Supplier - Ambulance Service Supplier | 4183674377 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0869689 | St Louis Fire Department-Bureau of EMS | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- St Louis Dept of Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Meals Provider
- Saint Louis, MO
- NPI 1770252090
-
- Case Management Agency
- Saint Louis, MO
- NPI 1285206169
-
- Public Health or Welfare Agency
- Saint Louis, MO
- NPI 1336316777
Locations
2634 Hampton Ave
Saint Louis, MO 63139
Phone (314) 645-9160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623715200000",
"number": "1952490682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 956134",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631956135",
"telephone_number": "314-645-5639",
"fax_number": "314-645-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2634 HAMPTON AVENUE",
"address_2": "CITY OF ST LOUIS EMERGENCY MEDICAL SERVICES",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631392913",
"telephone_number": "314-646-7108",
"fax_number": "314-645-4556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ST LOUIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "JENKERSON",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "314-533-3406"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800626608",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of St Louis Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St 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, 2021; 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.