VILLAGE OF CREVE COEUR; NPI #1043351414

Contact Information

VILLAGE OF CREVE COEUR

203 WAGNER DRIVE
CREVE COEUR, IL 61610

Phone: 309-682-5280
Fax: 309-682-5327
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLAGE OF CREVE COEUR

NPI Number 1043351414

LBN Legal business name VILLAGE OF CREVE COEUR

Authorized official BRAD GILL - (FIRE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/09/2007

Last updated 08/15/2008 - About 18 years ago

Identifiers

IL	License #	000002528
IL	Other	09032043	BLUE CROSS BLUE SHIELD
IL	Other	5900065841	PALLMETTO 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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VILLAGE OF CREVE COEUR

Contact Information

Specialty

Land Transport

NPI Profile & details for VILLAGE OF CREVE COEUR

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