Provider Demographics
NPI:1235110792
Name:AFFTON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:AFFTON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-631-1803
Mailing Address - Street 1:2840 RELIABLE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60686-0001
Mailing Address - Country:US
Mailing Address - Phone:314-631-1803
Mailing Address - Fax:
Practice Address - Street 1:9282 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:AFFTON
Practice Address - State:MO
Practice Address - Zip Code:63123-4526
Practice Address - Country:US
Practice Address - Phone:314-631-1803
Practice Address - Fax:314-353-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1894133416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
17919OtherHEALTHCAREUSA PROV. NO.
8182116OtherUNITED HEALTHCARE PROV. #
122372OtherBCBS PROVIDER NO.
33911OtherGHP PROVIDER NO.
412155OtherHEALTHLINK PROVIDER NO.