Active NPI
City of St. Charles
- Ambulance
- Saint Charles, IA
National Provider Identifier
1295481000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF ST. CHARLES
- Practice address
- 210 W Main St
Saint Charles, IA 50240-1541 - Phone
- (641) 396-1234
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Aller
- Title
- Service Director
- Phone
- (515) 238-3971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
210 W Main St
Saint Charles, IA 50240-1541
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220404001499 | IA | Part B Supplier - Ambulance Service Supplier | 2163818956 | Practice locations: Saint Charles, IA |
National Provider Directory
National Provider DirectoryLocations
113 S Lumber St
Saint Charles, IA 50240
Phone (641) 396-1234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1295481000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 FARNAM DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543237",
"telephone_number": "877-218-4392",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W MAIN ST",
"city": "SAINT CHARLES",
"state": "IA",
"postal_code": "502401541",
"telephone_number": "641-396-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ST. CHARLES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "ALLER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SERVICE DIRECTOR",
"authorized_official_telephone_number": "515-238-3971"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.