Organization
CREVE COEUR FIRE PROTECTION DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ASHBY (FIRE CHIEF)
(800) 538-8278
Entity
Organization
Contact information
Practice address
11221 OLIVE BLVD, CREVE COEUR, MO 63141-7652
(800) 538-8278
(580) 628-2273
Mailing address
11221 OLIVE BLVD, CREVE COEUR, MO 63141-7652
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189014
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122081
BCBS PROVIDER NUMBER
MO
01
—
590015080
RRMC PROVIDER NUMBER
MO
05
—
805691607
—
MO
Enumeration date
10/18/2006
Last updated
01/17/2012
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