Organization
COYNE CENTER FIRE PROTECTION AND EMS DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SAMPICA (EMS CLERK)
(309) 787-2459
Entity
Organization
Contact information
Practice address
1624 COYNE CENTER RD, MILAN, IL 61264-4044
(309) 787-2459
(309) 787-6260
Mailing address
PO BOX 207, MILAN, IL 61264-0207
(309) 787-2459
(309) 787-6260
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02 2973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363325676001
—
IL
Enumeration date
12/01/2006
Last updated
06/01/2016
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