City of Moline

NPI #1760489199 in Moline, Illinois

Provider Information

NPI Number
1760489199
Entity Type
Organization
Organization Name
City of Moline
Primary Specialty
Ambulance
Enumeration Date
Jun 30, 2005
Last Updated
Mar 21, 2012

Practice Location

Address
1630 8TH AVE
City
Moline
ZIP Code
61265-2116
Phone
(309) 524-2250

Authorized Official

Name
IVAN LUVERNE SEDERSTROM
Title
DEPUTY FIRE CHIEF
Phone
(309) 524-2257

Specialties & Taxonomy Codes

Specialty
Ambulance

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