Organization · Type 2 NPI

Village of Wayne City

Land Ambulance · Wayne City, IL

NPI number 1750436002 Active

Practice location

103 Mill Street
Wayne City, IL 62895-0176

Call (618) 895-2241 Map

Fax (618) 895-2241

Mailing address

PO Box 176
Wayne City, IL 62895-0176

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	55160 (IL)

Land Ambulance: Definition to come...

NPI record

NPI: 1750436002
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: May 17, 2012
Status: Active
Subpart: Yes of Village of Wayne City

Other names

<unavail>
Wayne City Ambulance Service · other name

Authorized official

Mrs. Vickie L Slater
Village of Wayne Clerk
(618) 895-2241

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1750436002

Village of Wayne City's National Provider Identifier is 1750436002, issued on Jan 25, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Wayne City, IL. The record was last updated on May 17, 2012.