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Organization

VILLAGE OF CREVE COEUR

Active
Other names
Creve Coeur Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD GILL (FIRE CHIEF)
(309) 303-6519
Entity
Organization

Contact information

Practice address
203 WAGNER DRIVE, CREVE COEUR, IL 61610
(309) 682-5280
(309) 682-5327
Mailing address
101 N THORNCREST AVE, CREVE COEUR, IL 61610
(309) 682-5280
(309) 682-5327

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000002528
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09032043
BLUE CROSS BLUE SHIELD
IL
01
5900065841
PALLMETTO GBA
IL
Enumeration date
02/09/2007
Last updated
08/15/2008
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