COUNTY OF MENARD NPI 1982633541

NPI Information

COUNTY OF MENARD is an ambulance in Petersburg, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). COUNTY OF MENARD NPI is 1982633541. The provider is registered as an organization entity type.
The provider Is Doing Business As Menard County Ems.

The provider's business location address is:

809 OLD SALEM RD
PETERSBURG, IL
ZIP 62675-795
Phone: (217) 632-7700
Fax: (217) 632-4418

The provider's authorized official is Larry M Graf .
The authorized official title is Ems Chief/administrator and has the following contact phone number (217) 632-7700.

The CLIA number assigned to this NPI record is 14D2143967 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 5/25/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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