VILLAGE OF MARYVILLE NPI 1770530727

NPI Information

NPI: 1770530727
Provider Name: VILLAGE OF MARYVILLE

Doing Business As: MARYVILLE VILLAGE FIRE DEPT AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2520 N CENTER ST
MARYVILLE, IL
ZIP 62062
Phone: (618) 344-8099
Get Directions

VILLAGE OF MARYVILLE is a land transport ambulance in Maryville, IL. VILLAGE OF MARYVILLE NPI is 1770530727. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryville Village Fire Dept Ambulance Service.

The provider's business location address is:

2520 N CENTER ST
MARYVILLE, IL
ZIP 62062-671
Phone: (618) 344-8099
Fax: (618) 344-2990

The provider's authorized official is Kevin Flaugher .
The authorized official title is Fire Chief and has the following contact phone number (618) 344-8099.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/19/2008.

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	3416L0300X	Ambulance	Land Transport	4 4868	ILLINOIS	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	590007562	MEDICARE PIN	ILLINOIS
2	590007562	OTHER	ILLINOIS	PALMETTO RR MEDICARE
3	216357500	OTHER	ILLINOIS	DOL OWCP
4	=========001	MEDICAID	ILLINOIS
5	6032131	OTHER	ILLINOIS	BCBS
6	735810	MEDICARE PIN	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

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