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DANVERS EMERGENCY & RESCUE SERVICE NPI 1306017256


NPI Information

NPI: 1306017256
Provider Name: DANVERS EMERGENCY & RESCUE SERVICE
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
208 E. MAIN ST.
DANVERS, IL
ZIP 61732
Phone: (309) 963-4048
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DANVERS EMERGENCY & RESCUE SERVICE is an emergency care clinic center in Danvers, IL. DANVERS EMERGENCY & RESCUE SERVICE NPI is 1306017256. The provider is registered as an organization entity type.

The provider's business location address is:

208 E. MAIN ST.
DANVERS, IL
ZIP 61732-197
Phone: (309) 963-4048
Fax: (309) 963-4048

The provider's authorized official is Gail A Litwiller .
The authorized official title is Billing Clerk and has the following contact phone number (309) 963-4048.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency Care676601ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1696860MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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