Organization
CITY OF MATTOON ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W CLINE (MAYOR)
(217) 234-4633
Entity
Organization
Contact information
Practice address
1812 PRAIRIE AVE, MATTOON, IL 61938-2951
(217) 234-2442
(217) 234-2448
Mailing address
1812 PRAIRIE AVE, MATTOON, IL 61938-2951
(217) 234-2442
(217) 234-2448
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
06 6689
IL
Other
Enumeration date
05/15/2008
Last updated
09/24/2008
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