Organization
KINMUNDY ALMA FIRE PROTECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY COOPER (FIRE CHIEF)
(618) 547-7674
Entity
Organization
Contact information
Practice address
308 STATE RTE 37 SOUTH, KINMUNDY, IL 62854-0181
(618) 547-7674
(618) 547-7761
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
5208
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001270
RR MEDICARE
IL
01
—
6171208
BCBS
IL
Enumeration date
07/29/2006
Last updated
02/22/2013
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