Organization
CODE BLUE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN WAYNE GRAY JR. EMT-P (CEO)
(217) 663-3783
Entity
Organization
Contact information
Practice address
207 W WALNUT ST, TEUTOPOLIS, IL 62467-1023
(217) 663-3783
Mailing address
207 W WALNUT ST, TEUTOPOLIS, IL 62467-1023
(217) 663-3783
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/12/2023
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