Village of South Jacksonville
NPI #1245488857 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1245488857
- Entity Type
- Organization
- Organization Name
- Village of South Jacksonville
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Sep 8, 2008
- Last Updated
- Dec 30, 2008
Practice Location
- Address
- 301 DEWEY DR
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3206
- Phone
- (217) 245-4803
Authorized Official
- Name
- MR. DAVID A HICKOX
- Title
- FIRE CHIEF
- Phone
- (217) 245-4803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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