| NPI | 1992883953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY H NIVER EMS Coordinator 217-987-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 341600000X Ambulance (Licence: IL 006764) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-09-09 |