Organization
ROBERTSON FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TILLEY (FIRE CHIEF)
(314) 291-6671
Entity
Organization
Contact information
Practice address
12641 MISSOURI BOTTOM RD, HAZELWOOD, MO 63042-1517
(314) 291-6180
Mailing address
PO BOX 771242, SAINT LOUIS, MO 63177-2242
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112682
HEALTHLINK PROVIDER NO.
—
01
—
122576
BCBS PROVIDER NO.
—
01
—
12752
HEALTHCAREUSA PROV NO.
—
01
—
33653
GHP PROVIDER NO.
—
01
—
8181007
UNITED HEALTHCARE PROV #
—
Enumeration date
11/14/2005
Last updated
04/16/2008
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