Organization
FENTON FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (OFFICE MANAGER)
(636) 343-4188
Entity
Organization
Contact information
Practice address
845 GREGORY LN, FENTON, MO 63026-3110
(636) 343-4188
(636) 343-4451
Mailing address
845 GREGORY LN, FENTON, MO 63026-3110
(636) 343-4188
(636) 343-4451
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189430
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12510
HEALTHCAREUSA PROV NO.
—
01
—
125199
BCBS PROVIDER NO.
—
01
—
329961
HEALTHLINK PROVIDER NO.
—
01
—
53498
GHP PROVIDER NO.
—
01
—
590014622
RAILROAD MEDICARE PROV #
—
05
—
808538003
—
MO
01
—
8100019
UNITED HEALTHCARE PROV. #
—
01
—
889159
COMMUNITY CARE PROV #
—
Enumeration date
11/10/2005
Last updated
02/10/2025
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