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NPI 1740192962

NPI 1740192962 : ST. CHARLES COUNTY AMBULANCE DISTRICT : SAINT PETERS, MO

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General NPI Number Information
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    NPI Number           |    1740192962
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    Entity Type          |    Organization 
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    Legal Business Name  |    ST. CHARLES COUNTY AMBULANCE DISTRICT 
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Dates
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    Enumeration Date     |    09/22/2026
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    Last Update Date     |    09/22/2026
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Provider Practice Location Address
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    Address Line         |    2000 SALT RIVER RD 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-3956
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    Country              |    US
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    Telephone            |    636-344-7653
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2000 SALT RIVER RD 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-3956
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    Country              |    US
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    Telephone            |    636-344-7653
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    Fax                  |    636-344-7651
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Authorized Official
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    Title or Position    |    BILLING SPECIALIST
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    Name                 |     SUSIE E KITCHEN 
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    Credential           |    
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    Telephone            |    636-219-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146E00000X
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    Taxonomy Name        |    Community Paramedic
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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