Organization
P.O. FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY BRINK (MANAGER)
(618) 669-2349
Entity
Organization
Contact information
Practice address
#4 STATE ST., POCAHONTAS, IL 62275-0217
(618) 669-2349
(618) 669-2349
Mailing address
PO BOX 217, POCAHONTAS, IL 62275-0217
(618) 669-2349
(618) 669-2349
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
W25183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270759
HEALTHLINK NETWORK
IL
01
—
332005
BCBS OF ILLINOIS
IL
01
—
7301372
AETNA
IL
01
—
8181355
UNITED HEALTHCARE
IL
01
—
W25813
LICENSE NUMBER
IL
Enumeration date
11/30/2006
Last updated
11/25/2008
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