NPI 1043091176

Black Jack Fire Protection Dist

Organisation Land Ambulance Florissant, MO

Practice location

Address: 5675 N Highway 67, Florissant, MO 63034-2603
Phone: (314) 741-9905

Authorised official

Name: Andrew M Kerckhoff
Title: Deputy Chief Medical Officer
Phone: (314) 741-9905

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X

Other Ambulance providers in Missouri →

Registry record

NPI: 1043091176
Entity type: Organization
NPI issued: 13 Oct 2023
Record last updated: 29 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.