Organization
ODELL FIRE PROTECTION DISTRICT
Active
Other names
Odell Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN MILLS (EMS COORDINATOR)
(815) 998-2410
Entity
Organization
Contact information
Practice address
210 SOUTH FRONT, ODELL, IL 60460-0435
(815) 998-2410
(815) 998-1326
Mailing address
PO BOX 435, 210 SOUTH FRONT, ODELL, IL 60460-0435
(815) 998-2410
(815) 998-1326
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2 2988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05332021
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/16/2006
Last updated
04/20/2008
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