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Organization
BIGGSVILLE AMBULANCE SERVICE
Active
Organization
BIGGSVILLE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHNSON (DIRECTOR)
(309) 627-2977
Entity
Organization
Contact information
Practice address
400 WATER ST, BIGGSVILLE, IL 61418-0084
(309) 627-2977
Mailing address
PO BOX 91, 400 WATER ST, BIGGSVILLE, IL 61418-0091
(309) 627-2977
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS09382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EMS09382
ILLIONIS STATE LICENSE
IL
Enumeration date
08/01/2008
Last updated
11/04/2008
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