# CODE BLUE EMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801580543
- **Authorized official:** MR. STEVEN WAYNE GRAY JR. EMT-P (CEO)
- **Authorized official phone:** (217) 663-3783

## Contact information

- **Practice address:** 207 W WALNUT ST, TEUTOPOLIS, IL 62467-1023
- **Practice address phone:** (217) 663-3783
- **Mailing address:** 207 W WALNUT ST, TEUTOPOLIS, IL 62467-1023
- **Mailing address phone:** (217) 663-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2023
- **Last updated:** 06/12/2023