Organization
COUNTY OF WASHINGTON
Active
Other names
Washington County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FELCHLIA (EMS CHIEF/ADMINISTRATOR)
(618) 327-4800
Entity
Organization
Contact information
Practice address
160 N WEST COURT ST, NASHVILLE, IL 62263-1128
(618) 327-3075
(618) 327-7281
Mailing address
160 N WEST COURT ST, NASHVILLE, IL 62263-1128
(618) 327-3075
(618) 327-7281
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
054856
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590155523
PALMETTO GBA
IL
01
—
9590001
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
01/10/2007
Last updated
01/03/2024
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