Organization
CITY OF WEBSTER GROVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BAINTER (ASSISTANT CHIEF)
(314) 963-5328
Entity
Organization
Contact information
Practice address
6 S ELM AVE, WEBSTER GROVES, MO 63119-3016
(314) 963-5328
(314) 962-4504
Mailing address
6 S ELM AVE, WEBSTER GROVES, MO 63119-3016
(314) 963-5328
(314) 962-4504
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15668
GROUP HEALTH PLAN
—
01
—
29746
BLUE CROSS BLUE SHIELD
—
05
—
808718803
—
MO
01
—
81-81264
UNITED HEALTHCARE
—
01
—
826590274
RAILROAD MEDICARE
—
Enumeration date
11/23/2005
Last updated
04/03/2026
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