# COYNE CENTER FIRE PROTECTION AND EMS DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255409637
- **Authorized official:** MRS. DENISE SAMPICA (EMS CLERK)
- **Authorized official phone:** (309) 787-2459

## Contact information

- **Practice address:** 1624 COYNE CENTER RD, MILAN, IL 61264-4044
- **Practice address phone:** (309) 787-2459
- **Practice address fax:** (309) 787-6260
- **Mailing address:** PO BOX 207, MILAN, IL 61264-0207
- **Mailing address phone:** (309) 787-2459
- **Mailing address fax:** (309) 787-6260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 02 2973 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 06/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 363325676001 | — | IL |