| NPI | 1417472739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE TYLER COCKRUM Fire Chief 618-439-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 055496) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-03-14 |