Provider Demographics
NPI:1407837685
Name:THE GOEGGEL COMPANY
Entity Type:Organization
Organization Name:THE GOEGGEL COMPANY
Other - Org Name:GATEWAY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:GOEGGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-351-4702
Mailing Address - Street 1:PO BOX 2888
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63111-0088
Mailing Address - Country:US
Mailing Address - Phone:314-351-4720
Mailing Address - Fax:314-351-9935
Practice Address - Street 1:911 HOLLY HILLS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2636
Practice Address - Country:US
Practice Address - Phone:314-351-4720
Practice Address - Fax:314-351-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1891713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
22691OtherGHP PROVIDER NUMBER
0217308OtherCIGNA PROVIDER NUMBER
197518OtherHEALTHLINK PROVIDER NO.
MO29609OtherBLUE CROSS PROVIDER NO.
MO8100002OtherUHC PROVIDER NUMBER
MO8092OtherHEALTHCAREUSA PROVIDER NO
MO8092OtherHEALTHCAREUSA PROVIDER NO