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Organization
VILLAGE OF MARYVILLE
Active
Organization
VILLAGE OF MARYVILLE
Active
Other names
Maryville Village Fire Dept Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS DANKENBRING (FIRE CHIEF)
(618) 344-8099
Entity
Organization
Contact information
Practice address
300 N DONK AVE, MARYVILLE, IL 62062-2041
(618) 344-8099
(618) 344-2990
Mailing address
2520 N CENTER ST, MARYVILLE, IL 62062-5671
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4 4868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216357500
DOL OWCP
IL
01
—
590007562
PALMETTO RR MEDICARE
IL
01
—
6032131
BCBS
IL
Enumeration date
05/27/2006
Last updated
07/23/2025
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