Organization
VILLAGE OF TILTON
Active
Other names
TILTON FIRE AND RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R FIELDS EMT-PARAMEDIC (AMBULANCE COORDINATOR)
(217) 477-0800
Entity
Organization
Contact information
Practice address
121 W 5TH ST, TILTON, IL 61833-7427
(217) 477-0800
Mailing address
1001 TILTON RD, TILTON, IL 61833-7100
(217) 477-0800
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009220616
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/06/2007
Last updated
08/22/2020
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