Organization
CITY OF OLIVETTE
Active
Other names
Olivette Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT AVERY (FIRE CHIEF)
(937) 424-3701
Entity
Organization
Contact information
Practice address
9473 OLIVE BLVD, OLIVETTE, MO 63132-3131
(314) 983-5220
Mailing address
PO BOX 28977, OLIVETTE, MO 63132-0977
(937) 424-3701
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675634
ANTHEM
MO
05
—
1396051207
—
MO
01
—
P00997289
RAILROAD MEDICARE
MO
Enumeration date
08/30/2010
Last updated
09/23/2014
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