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Organization
VILLAGE OF CREVE COEUR
Active
Organization
VILLAGE OF CREVE COEUR
Active
Other names
Creve Coeur Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD GILL (FIRE CHIEF)
(309) 303-6519
Entity
Organization
Contact information
Practice address
203 WAGNER DRIVE, CREVE COEUR, IL 61610
(309) 682-5280
(309) 682-5327
Mailing address
101 N THORNCREST AVE, CREVE COEUR, IL 61610
(309) 682-5280
(309) 682-5327
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000002528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09032043
BLUE CROSS BLUE SHIELD
IL
01
—
5900065841
PALLMETTO GBA
IL
Enumeration date
02/09/2007
Last updated
08/15/2008
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