1023146339 NPI number — EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY

Table of content: (NPI 1023146339)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023146339 NPI number — EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023146339
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 796008
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63179-6000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-938-5505
Provider Business Mailing Address Fax Number:
636-938-6970

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4849 HIGHWAY 109
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUREKA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63025-3737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-938-5505
Provider Business Practice Location Address Fax Number:
636-938-6970
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
M
Authorized Official Title or Position:
FIRE CHIEF OF DISTRICT
Authorized Official Telephone Number:
636-935-5505

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  189049 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590005916 . This is a "MEDICARE - RAILROAD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 806240305 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29825 . This is a "BLUE CROSS OF MISSOURI" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com