Organization
MARSEILLES AREA AMBULANCE SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON MODEEN (EMS DIRECTOR)
(815) 795-7387
Entity
Organization
Contact information
Practice address
207 LINCOLN ST, MARSEILLES, IL 61341-1904
(815) 795-7387
(815) 795-3127
Mailing address
PO BOX 260, MENDOTA, IL 61342-0260
(815) 539-2468
(815) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2 2553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005090010
BCBS
IL
01
—
215520300
DOL
—
01
—
590128782
RAILROAD MEDICARE
IL
Enumeration date
01/25/2007
Last updated
09/16/2012
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