Organization
ESS OF MARION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WEISS (CEO)
(618) 998-7000
Entity
Organization
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959
(618) 998-7000
Mailing address
PO BOX 95968, OKLAHOMA CITY, OK 73143-5968
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
—
146N00000X
Basic Emergency Medical Technician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
06/19/2018
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