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Contact Information

CITY OF EDWARDSVILLE
118 HILLSBORO AVE
EDWARDSVILLE, IL62025-1622
 Phone: 618-692-7500
 Fax: 618-692-7558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY OF EDWARDSVILLE

NPI Number 1841210366
LBN Legal business name CITY OF EDWARDSVILLE
Authorized official PATTY THIEDE - (CITY CLERK/COMPTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 04/16/2021 - About 5 years ago
Identifiers
IL License # 4818
IL Other 6090016 BLUE CROSS/BLUE SHIELD
IL Other 32180 GROUP HEALTH
IL Other 590155530 PALMETTO GBA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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