Organization
BENSON AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE KOEHLER (SECRETARY)
(309) 394-2424
Entity
Organization
Contact information
Practice address
416 FRONT STREET, BENSON, IL 61516
(309) 394-2424
Mailing address
PO BOX 108, 416 FRONT STREET, BENSON, IL 61516
(309) 394-2424
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22605
IL
3416L0300X
Land Ambulance
2260502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010270732
BCBS
IL
Enumeration date
12/12/2006
Last updated
08/22/2020
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