Organization
CITY OF CARTERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W. MAUSEY (MAYOR)
(618) 985-2700
Entity
Organization
Contact information
Practice address
300 N DIVISION ST, CARTERVILLE, IL 62918-1272
(618) 985-6528
(618) 985-6528
Mailing address
103 S DIVISION ST, CARTERVILLE, IL 62918-1358
(618) 985-2252
(618) 985-9282
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1769908
IL
341600000X
Ambulance
1769909
IL
341600000X
Ambulance
1769910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590002427
RAI LROAD MEDICARE
IL
Enumeration date
03/15/2007
Last updated
03/21/2012
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