| Organization Name: | ST. CHARLES COUNTY AMBULANCE DISTRICT |
| NPI Number: | 1396790218 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEN KOCH (CEO) |
| Mailing Address: | 4169 Old Mill Pkwy St Peters |
| State: | MO US |
| Postal Code: | 633766551 |
| Phone Number: | 6364411354 |
| Fax Number: | 6364479060 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 183032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |