Organization
WEST OVERLAND FIRE PROTECTION DIST OF ST LOUIS COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARLO (CHIEF)
(314) 428-6069
Entity
Organization
Contact information
Practice address
10789 MIDLAND BLVD, SAINT LOUIS, MO 63114-1839
(314) 428-6069
(314) 428-3114
Mailing address
PO BOX 501157, SAINT LOUIS, MO 63150-0001
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
189189
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119728
BCBS PROVIDER NO.
—
01
—
33608
GHP PROVIDER NO.
—
01
—
590012870
RAILROAD MEDICARE PROV #
—
05
—
801179805
—
MO
01
—
8181099
UNITED HEALTHCARE PROV #
—
01
—
9019
HEALTHCAREUSA PROVIDER NO
—
Enumeration date
12/06/2005
Last updated
05/01/2013
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