Provider Demographics
NPI:1669453122
Name:SHREWSBURY CITY CLERK
Entity Type:Organization
Organization Name:SHREWSBURY CITY CLERK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-645-5077
Mailing Address - Street 1:4400 SHREWSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2815
Mailing Address - Country:US
Mailing Address - Phone:314-645-5077
Mailing Address - Fax:314-645-3873
Practice Address - Street 1:4400 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MO
Practice Address - Zip Code:63119-2815
Practice Address - Country:US
Practice Address - Phone:314-645-5077
Practice Address - Fax:314-645-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1893673416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590013968OtherRAILROAD MEDICARE PROV. #
124965OtherBCBS PROVIDER NO.
33277OtherGHP PROVIDER NO.
420212OtherHEALTHLINK PROVIDER NO.
MO804959104Medicaid
8100203OtherUNITED HEALTHCARE PROV #
MO18440OtherHEALTHCAREUSA PROVIDER NO
420212OtherHEALTHLINK PROVIDER NO.