Organization
MCNABB FIRE PROTECTION DISTRICT
Active
Other names
PC EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JACKSON (EMS DIRECTOR)
(815) 882-2635
Entity
Organization
Contact information
Practice address
391 IL HIGHWAY 89, MC NABB, IL 61335-5107
(815) 882-2635
(815) 882-2035
Mailing address
PO BOX 219, MC NABB, IL 61335-0219
(815) 882-2635
(815) 882-2035
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07832001
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/04/2006
Last updated
07/25/2025
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