Village Of New Athens
Emergency Medical Technician, Basic in New Anthens, IL. Organization (NPI-2).
NPI number1194863977
StatusActive
Last updated in NPPESDec 15, 2011
Details
- NPI
- 1194863977
- Entity type
- Organization (NPI-2)
- Legal business name
- Village Of New Athens
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Dec 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 4486702 | IL | Yes |
| 146N00000X | Emergency Medical Technician, Basic | 4486701 | IL |
Other names
- New Athens Ambulance Service (Doing Business As)
Practice location
301 S. Van Buren St.New Anthens, IL 62264-1569
Phone 618-475-3701 · Fax 618-475-3701
Mailing address
905 Spotsylvania StreetNew Anthens, IL 62264-1569
Phone 618-475-2144 · Fax 618-475-9269
Authorized official
Gary W. Kearns
Village President
6184752144
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