St. Charles County Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

183032 Issued in MO

Legal business name

ST. CHARLES COUNTY AMBULANCE DISTRICT

Practice address

2000 Salt River Rd
Saint Peters, MO 63376-3956

Phone

(636) 344-7600

Fax

(636) 447-9060

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

David A Lewis, MHA, FACHE

Title

Assistant Chief

Phone

(636) 344-7681

Specialties & licenses 3

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Metz

  • Paramedic
  • Saint Peters, MO
  • NPI 1063338945
  NPD (past)
• James M. Sturm, DO

  • Pain Medicine (Anesthesiology) Physician
  • Saint Peters, MO
  • NPI 1750441374
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396790218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SALT RIVER RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763956",
            "telephone_number": "636-344-7600",
            "fax_number": "636-447-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SALT RIVER RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763956",
            "telephone_number": "636-344-7600",
            "fax_number": "636-447-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "636-344-7681",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "183032",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "29623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MNGMNT RESOURCES",
            "identifier": "32950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "025920170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "108458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA MEDICARE HMO",
            "identifier": "32950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800463507",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BLUE CROSS",
            "identifier": "622786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE MC",
            "identifier": "999135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "32950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "29623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLD ADVANTAGE",
            "identifier": "32950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Peters Operations LLC
• St Peters Operator LLC
• St Peters Residential, LLC
• St Peters Vision Center Inc
• St. Charles Assisted Living, LLC
• St. Charles Nephrology
• St. Charles Orthopaedic Surgery Associates, Inc.
• St. Charles Sports&Physical Therapy, Inc.
• St. Louis Heart Institute Cardiothoracic Surgeons, Inc.
• St. Peters Community Healthcare, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.