NORTHERN TAZEWELL RESCUE SQUAD; NPI #1629113071

Contact Information

NORTHERN TAZEWELL RESCUE SQUAD

2445 WASHINGTON RD
WASHINGTON, IL 61571

Phone: 309-699-0421
Fax: 309-698-7885
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 NORTHERN TAZEWELL RESCUE SQUAD

NPI # 1629113071

LBN Legal business name NORTHERN TAZEWELL RESCUE SQUAD

Authorized official DAVID HOUSEWORTH - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

IL	License #	22582
IL	Other	09032026	BCBS

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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NORTHERN TAZEWELL RESCUE SQUAD

Contact Information

Specialty

Land Transport

NPI Profile & details for NORTHERN TAZEWELL RESCUE SQUAD

Reviews for NORTHERN TAZEWELL RESCUE SQUAD