Organization
BROWN COUNTY
Active
Other names
Brown County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JAMES GALLAHER I EMT-P (AMBULANCE DIRECTOR)
(217) 773-2113
Entity
Organization
Contact information
Practice address
835 ROUTE 24 WEST, MT STERLING, IL 62353-9408
(217) 773-2113
(217) 773-2090
Mailing address
835 ROUTE 24 WEST, MT STERLING, IL 62353-9408
(217) 773-2113
(217) 773-2090
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376000422001
—
IL
01
—
570871
BLUE CROSS BLUE SHIELD
IL
01
—
590007560
RAILROAD MEDICARE
IL
01
—
P00124502
RAILROAD MEDICARE
IL
Enumeration date
07/04/2006
Last updated
02/10/2010
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