Organization · NPI-2
Mitchell-Jerdan Funeral Home Ltd
Ambulance, Land Transport · Mattoon, IL
NPI number1245453190
StatusActive
Last updated in NPPESMar 13, 2012
Details
- NPI
- 1245453190
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitchell-Jerdan Funeral Home Ltd
- Organization subpart
- No
- Enumeration date
- Apr 10, 2007
- Last updated
- Mar 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | 66792 | IL | Yes |
Other names
- Mitchell-Jerdan Ambulance Service (Other Name)
Practice location
1200 Wabash AveMattoon, IL 61938-4142
Phone 217-234-8828 · Fax 217-258-0786
Mailing address
1200 Wabash AveMattoon, IL 61938-4142
Phone 217-234-8828 · Fax 217-258-0786
Authorized official
Gregory L. Jerdan
President
2172348828
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.