Organization Active NPI

City of St Louis

  • Ambulance
  • St Louis, MO
National Provider Identifier
1952490682
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Jun 15, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800626608MedicaidMO

Other names 1

  • City of St Louis Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125001122 MO Part B Supplier - Ambulance Service Supplier 4183674377 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0869689St Louis Fire Department-Bureau of EMS2634 Hampton Avenue, Saint Louis, MO 63139Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Louis Dept of Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.