Organization
FLANAGAN-GRAYMONT EMERGENCY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY WATSON (FIRE CHIEF)
(815) 796-4249
Entity
Organization
Contact information
Practice address
101 S ADAMS ST, FLANAGAN, IL 61740-7550
(815) 796-2689
(815) 796-4249
Mailing address
PO BOX 363, FLANAGAN, IL 61740-0363
(815) 796-4249
(815) 796-4249
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001338
RAILROAD MEDICARE
IL
Enumeration date
04/03/2007
Last updated
02/29/2012
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