Village Of New Athens

NPI 1194863977 - Emergency Medical Technician, Basic - 146N00000X

NPI Details
NPI 1194863977
Enumeration Date 02/02/2007
Last Updated 12/15/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY W. GARY
Position VILLAGE PRESIDENT
Phone (618) 475-3701
Fax (618) 475-3701
Practice Location
301 S. VAN BUREN ST.
NEW ANTHENS IL, 62264-1569, US
Phone (618) 475-3701
Fax (618) 475-3701
Business Location
905 SPOTSYLVANIA STREET
NEW ANTHENS IL, 62264-1569, US
Phone (618) 475-2144
Fax (618) 475-9269
Toxanomy
Taxonomy Code 146N00000X
License State Illinois
License Number 4486701
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According to our database, Village Of New Athens NPI is 1194863977, taxonomy code is 146N00000X and license number is 4486701, license state is located at Illinois. Village Of New Athens physically located at 301 S. Van Buren St., New Anthens IL, 62264-1569. NPI Number 1033115704 has the healthcare provider type.

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1194863977 NPI number is provided on an as is basis without warranty of any kind. 1194863977 is maintained by the National Plan & Provider Enumeration System. The contents of Village Of New Athens are for informational purposes only.