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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