Organization
VILLAGE OF WAYNE CITY
Active
Parent organization
VILLAGE OF WAYNE CITY
Other names
Wayne City Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE OF WAYNE CITY
Authorized official
MRS. VICKIE L SLATER (VILLAGE OF WAYNE CLERK)
(618) 895-2241
Entity
Organization
Contact information
Practice address
103 MILL STREET, WAYNE CITY, IL 62895-0176
(618) 895-2241
(618) 895-2241
Mailing address
PO BOX 176, WAYNE CITY, IL 62895-0176
(618) 895-2241
(618) 895-2577
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
55160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096320212
BLUECROSS BLUESHIELD
—
01
—
115266
HEALTHLINK
—
01
—
4351483
CIGNA
—
Enumeration date
01/25/2007
Last updated
05/17/2012
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