Organization
CRYSTAL CITY EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DAUCHERT (CEO/PRESIDENT)
(919) 768-4392
Entity
Organization
Contact information
Practice address
HIGHWAY 61 SOUTH, CRYSTAL CITY, MO 63019
(636) 933-1000
(904) 805-1302
Mailing address
PO BOX 827431, PHILADELPHIA, PA 19182-7431
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS & BLUE SHIELD
MO
01
—
137529
UMWA
MO
01
—
426403
HEALTHLINK
MO
Enumeration date
05/04/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us