# VILLAGE OF FARINA FAYETTE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village of Farina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407893787
- **Authorized official:** PATSY THOMAS (VILLAGE CLERK)
- **Authorized official phone:** (618) 245-2201

## Contact information

- **Practice address:** 106 S OAK ST, FARINA, IL 62838-1282
- **Practice address phone:** (618) 245-2201
- **Practice address fax:** (618) 245-6531
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-7967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5209 | IL | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2632011 | BCBS | IL |