City of St Charles

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

183016 Issued in MO

Legal business name

CITY OF ST CHARLES

Practice address

3201 Boschertown Rd
Saint Charles, MO 63301-3202

Phone

(636) 949-3250

Fax

(636) 949-3297

NPI assigned

Jun 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marc R Doll

Title

EMS Bureau Chief

Phone

(636) 949-3250

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St Charles Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1184621799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BOSCHERTOWN RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633013202",
            "telephone_number": "636-949-3250",
            "fax_number": "636-896-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BOSCHERTOWN RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633013202",
            "telephone_number": "636-949-3250",
            "fax_number": "636-949-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Hawks Nest Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633033692",
            "country_code": "US",
            "telephone_number": "636-949-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Elm St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014617",
            "country_code": "US",
            "telephone_number": "636-949-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633011942",
            "country_code": "US",
            "telephone_number": "636-949-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 S Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034149",
            "country_code": "US",
            "telephone_number": "636-949-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 Muegge Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633033152",
            "country_code": "US",
            "telephone_number": "636-949-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF ST CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMS BUREAU CHIEF",
        "authorized_official_telephone_number": "636-949-3250"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "183016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803678200",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590155547",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St Charles Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Cholley, PLPC
• Andrea D Chrismer-Still, LPC
• Kathleen F. Christlieb, PA
• Christopher Derix (United Clinical and Sport Psychology)
• Stephen Eugene Christy, D.M.D.
• Dylan Troy Clamors, ATC
• Ralph Clark, LMT
• Clarkson Optometry Inc (Clarkson Eyecare)
• Clay Street Healthcare LLC (Aspen Point Health and Rehabilitation)
• Santianna J Clay, LPC

• Land Ambulance in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.