Organization
BLACK JACK FIRE PROTECTION DIST
Active
Other names
Black Jack Fire Protection District
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M KERCKHOFF PARAMEDIC (DEPUTY CHIEF MEDICAL OFFICER)
(314) 741-9905
Entity
Organization
Contact information
Practice address
5675 N HIGHWAY 67, FLORISSANT, MO 63034-2603
(314) 741-9905
Mailing address
5675 N HIGHWAY 67, FLORISSANT, MO 63034-2603
(314) 741-9905
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
11/29/2023
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