Organization
VILLAGE OF NEW ATHENS
Active
Other names
New Athens Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W. KEARNS (VILLAGE PRESIDENT)
(618) 475-2144
Entity
Organization
Contact information
Practice address
301 S. VAN BUREN ST., NEW ANTHENS, IL 62264-1569
(618) 475-3701
(618) 475-3701
Mailing address
905 SPOTSYLVANIA STREET, NEW ANTHENS, IL 62264-1569
(618) 475-2144
(618) 475-9269
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
4486701
IL
146N00000X
Basic Emergency Medical Technician
Primary
4486702
IL
Other
Enumeration date
02/02/2007
Last updated
12/15/2011
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