National Provider Identifier Database

CRYSTAL CITY EMERGENCY SERVICES LLC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

CRYSTAL CITY EMERGENCY SERVICES, LLC
HIGHWAY 61 SOUTH
CRYSTAL CITY, MO63019
Phone: 636-933-1000
Fax: 904-805-1302
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Emergency Medicine 207P00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for CRYSTAL CITY EMERGENCY SERVICES, LLC

NPI Number 1801844618
Legal business name
LBN
CRYSTAL CITY EMERGENCY SERVICES, LLC
Authorized official EUGENE DAUCHERT - (CEO/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MO Other: 124884 BLUE CROSS & BLUE SHIELD
  • MO Other: 426403 HEALTHLINK
  • MO Other: 137529 UMWA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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