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Organization
DELAVAN AMBULANCE SERVICE INC
Active
Organization
DELAVAN AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SPRINGER (TREASURER)
(309) 244-7420
Entity
Organization
Contact information
Practice address
510 S PINE STREET, DELAVAN, IL 61734-0747
(309) 244-7420
Mailing address
PO BOX 747, 510 S PINE STREET, DELAVAN, IL 61734-0747
(309) 244-7420
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22532
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09070738
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/15/2007
Last updated
05/04/2016
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