Healthcare Provider Details

I. General information

NPI: 1740192962
Provider Name (Legal Business Name): ST. CHARLES COUNTY AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SALT RIVER RD
SAINT PETERS MO
63376-3956
US

IV. Provider business mailing address

2000 SALT RIVER RD
SAINT PETERS MO
63376-3956
US

V. Phone/Fax

Practice location:
  • Phone: 636-344-7653
  • Fax:
Mailing address:
  • Phone: 636-344-7653
  • Fax: 636-344-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146E00000X
TaxonomyCommunity Paramedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSIE E KITCHEN
Title or Position: BILLING SPECIALIST
Credential:
Phone: 636-219-5416