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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 Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRYSTAL CITY EMERGENCY SERVICES, LLC

NPI Number 1801844618
LBN Legal business name CRYSTAL CITY EMERGENCY SERVICES, LLC
Authorized official EUGENE DAUCHERT - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MO Other 124884 BLUE CROSS & BLUE SHIELD
MO Other 426403 HEALTHLINK
MO Other 137529 UMWA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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