institution
Village Of Creve Coeur
Land Ambulance in Creve Coeur, Illinois
NPI 1043351414

Village Of Creve Coeur is a Land Ambulance based in Creve Coeur, IL and is specialized in Land Transport. Village Of Creve Coeur practices in Creve Coeur, IL. The NPI Number for Village Of Creve Coeur is 1043351414 and holds a License No. 000002528 (Illinois).

The current practice location address for Village Of Creve Coeur is 203 Wagner Drive, Creve Coeur, IL and can be reached out via phone at 309-682-5280 and via fax at 309-682-5327.

Location: 203 Wagner Drive, Creve Coeur, IL, 61610
institution
Provider Profile Details
NPI Number
1043351414
Provider Name
Village Of Creve Coeur
Credential
Provider Entity Type
Organization
Address
203 Wagner Drive, Creve Coeur, IL, 61610
Phone Number
309-682-5280
Fax Number
309-682-5327
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09032043 01 IL BLUE CROSS BLUE SHIELD
5900065841 01 IL PALLMETTO GBA
institution
Provider Business Practice Location Address Details
Address
203 Wagner Drive
City
State
Zip
61610
Phone Number
309-682-5280
Fax Number
309-682-5327
person
Provider Business Mailing Address Details
Address
203 Wagner Drive
City
State
Zip
61610
Phone Number
309-682-5280
Fax Number
309-682-5327
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
000002528 (Illinois)
Definition
Definition to come...
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