CITY OF COLUMBIA; NPI #1669571337

Contact Information

CITY OF COLUMBIA

1020 N MAIN ST
COLUMBIA, IL 62236

Phone: 618-281-4163
Fax: 618-281-6133
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 CITY OF COLUMBIA

NPI Number 1669571337

LBN Legal business name CITY OF COLUMBIA

Authorized official SHANNON BOUND - (ADMIN. ASSISTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/21/2006

Last updated 05/14/2012 - About 14 years ago

Identifiers

IL	License #	044152
IL	License #	4831
IL	Medicaid	001
IL	Other	0006790001	BCBS
IL	Other	0006790001	BCBS PROVIDER NUMBER
IL	Other	590155450	RR MC
IL	Other	590155450	RRMC PROVIDER NUMBER

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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CITY OF COLUMBIA

Contact Information

Specialty

Land Transport

NPI Profile & details for CITY OF COLUMBIA

Reviews for CITY OF COLUMBIA