MEDICARE: CITY OF ST LOUIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952490682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ST LOUIS

Provider Business Mailing Address
First Line	:	PO BOX 956134
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63195-6135
Country	:	US
Telephone Number	:	314-645-5639
Fax Number	:	314-645-4566

Provider Business Practice Location Address
First Line	:	2634 HAMPTON AVENUE
Second Line	:	CITY OF ST LOUIS EMERGENCY MEDICAL SERVICES
City	:	ST LOUIS
State	:	MO
Zip	:	63139-2913
Country	:	US
Telephone Number	:	314-646-7108
Fax Number	:	314-645-4556

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	DENNIS M JENKERSON
Credential	:
Telephone Number	:	314-533-3406

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	06/15/2021

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Directions to “CITY OF ST LOUIS ” Practice Location

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