Organization
LEMAY FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN BARTON (LIEUTENANT MEDICAL OFFICER)
(314) 631-4500
Entity
Organization
Contact information
Practice address
1201 TELEGRAPH RD, SAINT LOUIS, MO 63125-2529
(800) 538-8278
(580) 628-2273
Mailing address
PO BOX 260196, SAINT LOUIS, MO 63126-8196
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112128
BCBS PROVIDER NUMBER
MO
01
—
590010684
RRMC PROVIDER NUMBER
MO
05
—
808663009
—
MO
Enumeration date
10/25/2006
Last updated
06/15/2023
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