| Organization Name: | COYNE CENTER FIRE PROTECTION AND EMS DISTRICT |
| NPI Number: | 1255409637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE SAMPICA (EMS CLERK) |
| Mailing Address: | 1624 Coyne Center Rd Milan |
| State: | IL US |
| Postal Code: | 612644044 |
| Phone Number: | 3097872459 |
| Fax Number: | 3097876260 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 02 2973 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |