Organization
EASTERN MCLEAN COUNTY AMBULANCE ASSOC
Active
Other names
EMCAA
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KIPER (BOARD SECRETARY / TREASURER)
(309) 723-3261
Entity
Organization
Contact information
Practice address
124 E MAIN ST, COLFAX, IL 61728-0183
(309) 723-3261
(309) 723-3711
Mailing address
124 E MAIN ST, PO BOX 183, COLFAX, IL 61728-0183
(309) 723-3261
(309) 723-3711
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371017409001
—
IL
01
—
5770614
BLUE CROSS BLUE SHIELD
IL
01
—
791590228
RR MEDICARE
IL
Enumeration date
12/05/2006
Last updated
01/18/2019
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