Black Jack Fire Protection Dist
NPI #1043091176 in Florissant, Missouri
Provider Information
- NPI Number
- 1043091176
- Entity Type
- Organization
- Organization Name
- Black Jack Fire Protection Dist
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Oct 13, 2023
- Last Updated
- Nov 29, 2023
Practice Location
- Address
- 5675 N HIGHWAY 67
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63034-2603
- Phone
- (314) 741-9905
Authorized Official
- Name
- ANDREW M KERCKHOFF, PARAMEDIC
- Title
- DEPUTY CHIEF MEDICAL OFFICER
- Phone
- (314) 741-9905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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