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Organization
NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC
Active
Organization
NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE LUTTERL (FIRE CHIEF)
(217) 436-2015
Entity
Organization
Contact information
Practice address
114 E STATE, PALMYRA, IL 62674
(217) 436-2015
(217) 436-2015
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5932014
BCBS
IL
Enumeration date
01/16/2007
Last updated
04/20/2008
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