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1063323640 NPI number — FLORISSANT VALLEY FIRE PRO DIST

NPI Number: 1063323640
Health Care Provider/Practitioner: FLORISSANT VALLEY FIRE PRO DIST

Information about “1063323640” NPI (FLORISSANT VALLEY FIRE PRO DIST) exists in 1063323640 in HTML format HTML  |  1063323640 in plain Text format TXT  |  1063323640 in PDF (Portable Document Format) PDF  |  1063323640 in an XML format XML  formats.

NPI Number : 1063323640 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063323640",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "FLORISSANT VALLEY FIRE PRO DIST",
    "ParentOrgTIN": null,
    "OrgName": "FLORISSANT VALLEY FIRE PRO DIST",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "661 SAINT FERDINAND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORISSANT",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63031-5124",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-538-8278",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "661 SAINT FERDINAND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLORISSANT",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63031-5124",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-538-8278",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2026",
    "LastUpdateDate": "09/14/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLAUTER",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": "A.",
    "AuthorizedOfficialTitle": "CHIEF MEDICAL OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "314-837-4894",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "146E00000X",
          "TaxonomyName": "Community Paramedic",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251K00000X",
          "TaxonomyName": "Public Health or Welfare Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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