Organization
ST. CLAIR AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HOLLO (CHIEF)
(636) 629-2216
Entity
Organization
Contact information
Practice address
3 PAUL PARKS DR, ST. CLAIR, MO 63077
(636) 629-2216
(636) 629-3387
Mailing address
PO BOX 190, ST. CLAIR, MO 63077
(636) 629-2216
(636) 629-3387
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
071013
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29629
BCBS OF MO
MO
Enumeration date
12/05/2006
Last updated
08/22/2020
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