Organization Name: | CITY OF MINONK OF WOODFORD COUNTY |
NPI Number: | 1295852515 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH J STEWART (EMS COORDINATOR) |
Mailing Address: | 636 Jefferson St Minonk |
State: | IL US |
Postal Code: | 617601243 |
Phone Number: | 3094322730 |
Fax Number: | 3094323547 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 22501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |