Organization
CITY OF BEARDSTOWN
Active
Other names
City of Beardstown Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI V BROWN (AMBULANCE BILLING CLERK)
(217) 323-3110
Entity
Organization
Contact information
Practice address
1119 EDWARDS ST, BEARDSTOWN, IL 62618-1925
(217) 323-1191
Mailing address
105 W 3RD ST, P.O. BOX 467, BEARDSTOWN, IL 62618-1142
(217) 323-3110
(217) 323-4029
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3452
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590007380
MEDICARE RAILROAD
IL
Enumeration date
04/02/2007
Last updated
04/20/2008
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