NPI 1023219094
Tri District Emergency Ambulance
Practice location
- Address
- 7563 Il Route 75, Rock City, IL 61070-0117
- Phone
- (815) 865-5153
- Fax
- (815) 865-5153
- Mailing address
- P.O. Box 117 7563 Il Route 75, Rock City, IL 61070-0117
Authorised official
- Name
- Edward L Koelling
- Title
- President / Supervisor
- Phone
- (815) 865-5153
Registered specialties (2)
Paramedic
Primary
Intermediate Emergency Medical Technician
Registry record
- NPI
- 1023219094
- Entity type
- Organization
- NPI issued
- 29 May 2007
- Record last updated
- 28 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.