Provider Demographics
NPI:1295481000
Name:CITY OF ST. CHARLES
Entity type:Organization
Organization Name:CITY OF ST. CHARLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-238-3971
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-0726
Mailing Address - Country:US
Mailing Address - Phone:717-635-6174
Mailing Address - Fax:
Practice Address - Street 1:113 S LUMBER ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IA
Practice Address - Zip Code:50240-7734
Practice Address - Country:US
Practice Address - Phone:641-396-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance