Organization
LYNCH AREA FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN L HEISER (EMS COORDINATOR)
(217) 446-9038
Entity
Organization
Contact information
Practice address
2315 PERRYSVILLE RD, DANVILLE, IL 61834-9452
(217) 442-0153
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
232750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009232022
BLUE CROSS
—
01
—
P00305370
RR MEDICARE
—
Enumeration date
09/12/2006
Last updated
03/09/2018
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