Organization
CITY OF ST CHARLES
Active
Other names
St Charles Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARC R DOLL (EMS BUREAU CHIEF)
(636) 949-3250
Entity
Organization
Contact information
Practice address
3201 BOSCHERTOWN RD, SAINT CHARLES, MO 63301-3202
(636) 949-3250
(636) 949-3297
Mailing address
3201 BOSCHERTOWN RD, SAINT CHARLES, MO 63301-3202
(636) 949-3250
(636) 896-4305
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
183016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590155547
RAILROAD MEDICARE
MO
05
—
803678200
—
MO
Enumeration date
06/29/2005
Last updated
03/17/2023
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