# CITY OF BEARDSTOWN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Beardstown Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851412357
- **Authorized official:** MRS. HEIDI V BROWN (AMBULANCE BILLING CLERK)
- **Authorized official phone:** (217) 323-3110

## Contact information

- **Practice address:** 1119 EDWARDS ST, BEARDSTOWN, IL 62618-1925
- **Practice address phone:** (217) 323-1191
- **Mailing address:** 105 W 3RD ST, P.O. BOX 467, BEARDSTOWN, IL 62618-1142
- **Mailing address phone:** (217) 323-3110
- **Mailing address fax:** (217) 323-4029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3452 | IL | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590007380 | MEDICARE RAILROAD | IL |