BOND COUNTY SENIOR CITIZENS CENTER NPI 1760658926

NPI Information

NPI: 1760658926
Provider Name: BOND COUNTY SENIOR CITIZENS CENTER
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
305 S THIRD ST
GREENVILLE, IL
ZIP 62246
Phone: (618) 664-1465
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BOND COUNTY SENIOR CITIZENS CENTER is a non emergency medical transport van in Greenville, IL. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. BOND COUNTY SENIOR CITIZENS CENTER NPI is 1760658926. The provider is registered as an organization entity type.

The provider's business location address is:

305 S THIRD ST
GREENVILLE, IL
ZIP 62246
Phone: (618) 664-1465
Fax: (618) 664-1478

The provider's authorized official is Anna M Destreich .
The authorized official title is Executive Director and has the following contact phone number (618) 664-1465.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

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
1	343900000X	Non-emergency Medical Transport (VAN)				Yes

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
1	=========001	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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