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Organization
TRI-CITY AMBULANCE
Active
Organization
TRI-CITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT MOSER (ADMINISTRATOR)
(630) 762-7036
Entity
Organization
Contact information
Practice address
2 E MAIN ST, ST CHARLES, IL 60174-1926
(630) 377-4987
(630) 377-4487
Mailing address
1 PIERCE PL STE 750W, ITASCA, IL 60143-1234
(847) 678-4900
(847) 678-1093
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132784500
DOL OWCP
IL
01
—
4532365
BCBS
IL
Enumeration date
08/29/2006
Last updated
05/26/2026
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