Organization
MISSION CARE OF ILLINOIS LLC
Active
Other names
Abbott EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
4400 N BELT W, BELLEVILLE, IL 62226-5280
(618) 233-4820
(618) 233-4830
Mailing address
PO BOX 847199, DALLAS, TX 75284-7199
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
1746251
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803855303
—
MO
Enumeration date
01/12/2007
Last updated
05/13/2026
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