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Organization
CITY OF BREESE
Active
Organization
CITY OF BREESE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HILMES (MAYOR)
(618) 526-7731
Entity
Organization
Contact information
Practice address
500 N 1ST ST, BREESE, IL 62230-1624
(618) 526-4455
(618) 526-4693
Mailing address
500 N 1ST ST, BREESE, IL 62230-1624
(618) 526-4455
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01470633
BLUE SHIELD
—
01
—
590007558
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
06/29/2012
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