Organization
VILLAGE OF FARINA FAYETTE COUNTY
Active
Other names
Village of Farina
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY THOMAS (VILLAGE CLERK)
(618) 245-2201
Entity
Organization
Contact information
Practice address
106 S OAK ST, FARINA, IL 62838-1282
(618) 245-2201
(618) 245-6531
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632011
BCBS
IL
Enumeration date
06/02/2006
Last updated
04/20/2008
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