Tri District Emergency Ambulance

NPI #1023219094 in Rock City, Illinois

Provider Information

NPI Number: 1023219094
Entity Type: Organization
Organization Name: Tri District Emergency Ambulance
Primary Specialty: Emergency Medical Technician, Paramedic
Enumeration Date: May 29, 2007
Last Updated: Mar 28, 2012

Practice Location

Address: 7563 IL ROUTE 75
City: Rock City
State: Illinois
ZIP Code: 61070-0117
Phone: (815) 865-5153

Authorized Official

Name: EDWARD L KOELLING
Title: PRESIDENT / SUPERVISOR
Phone: (815) 865-5153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X
Emergency Medical Technician, Paramedic	146L00000X	Primary

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