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NPI 1578034302

OrganizationActive

Medic One Gateway, LLC

NPI 1578034302 · Land Ambulance · St. Louis, MO

Provider details

NPI number: 1578034302
Entity type: Organization
Primary specialty: Land AmbulanceTransportation Services
Authorized official: Ryan Kibler, President

Practice location

1530 Fairview Ave

St. Louis, MO 63132

Phone: (314) 339-3930

More MO providers

Mailing address

6007 Dalton Farmer Dr.

Jonesboro, AR 72404

Registry dates

Enumerated: 2018-12-05
Last updated: 2018-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Medic One Gateway, LLC — NPI 1578034302, St. Louis, MO | NPI Central