Organization
VILLAGE OF MARYVILLE
Active
Other names
Maryville Village Fire Dept Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS DANKENBRING (FIRE CHIEF)
(618) 344-8099
Entity
Organization
Contact information
Practice address
300 N DONK AVE, MARYVILLE, IL 62062-2041
(618) 344-8099
(618) 344-2990
Mailing address
2520 N CENTER ST, MARYVILLE, IL 62062-5671
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4 4868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216357500
DOL OWCP
IL
01
—
590007562
PALMETTO RR MEDICARE
IL
01
—
6032131
BCBS
IL
Enumeration date
05/27/2006
Last updated
07/23/2025
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