Organization
MONROE RANDOLPH TRANSIT DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA HEINEMANN (BOOKKEEPER)
(618) 443-4433
Entity
Organization
Contact information
Practice address
802 WEST SECOND, SPARTA, IL 62286-2076
(618) 443-4433
(618) 443-9064
Mailing address
802 WEST SECOND, SPARTA, IL 62286-2076
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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