Organization
KIRBY MEDICAL CENTER
Active
Other names
Kirby Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D TENHOUSE (CEO)
(217) 762-1501
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-2115
(217) 762-1502
Mailing address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-2115
(217) 762-1502
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
66768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002758
STATE LICENSE NUMBER
IL
Enumeration date
09/12/2006
Last updated
12/11/2020
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