| Organization Name: | TRI-COUNTY AMBULANCE DISTRICT |
| NPI Number: | 1508891367 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDE DEVLIN (CLAIMS REPRESENTATIVE) |
| Mailing Address: | 210 Sauk Avenue Rio |
| State: | IL US |
| Postal Code: | 614720166 |
| Phone Number: | 3099725901 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |