Organization
TREMONT 702 RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT J STEINER (CHIEF/MANAGER)
(309) 232-6878
Entity
Organization
Contact information
Practice address
400 E PEARL ST, TREMONT, IL 61568-8581
(309) 925-5380
Mailing address
PO BOX 111, TREMONT, IL 61568-0111
(309) 925-5380
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371036620001
—
IL
01
—
9032032
BLUE CROSS
IL
Enumeration date
03/23/2007
Last updated
11/19/2024
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