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Organization

BIGGSVILLE AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD JOHNSON (DIRECTOR)
(309) 627-2977
Entity
Organization

Contact information

Practice address
400 WATER ST, BIGGSVILLE, IL 61418-0084
(309) 627-2977
Mailing address
PO BOX 91, 400 WATER ST, BIGGSVILLE, IL 61418-0091
(309) 627-2977

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS09382
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EMS09382
ILLIONIS STATE LICENSE
IL
Enumeration date
08/01/2008
Last updated
11/04/2008
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