Gerald M Duffy Trust Uw in Pontiac - Land Transport

Gerald M Duffy Trust Uw - NPI 1932220829

Gerald M Duffy Trust Uw is a Land Transport in Pontiac, Illinois. Gerald M Duffy Trust Uw practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Gerald M Duffy Trust Uw is 1932220829. The last update date is 2008-04-20.

Gerald M Duffy Trust Uw's current location address is 202 E Howard St, Pontiac, Illinois. You can contact this provider via phone number 8158447111 and fax number 8158421061. The mailing address for Gerald M Duffy Trust Uw is 202 E Howard St, Pontiac, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerald M Duffy Trust Uw
Address 202 E Howard St, Pontiac, Illinois
Phone Number 8158447111
Fax Number 8158421061
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TRUSTEE
Authorized Official Name Pitte M Kristin
Telephone Number 8158447111

NPI Number Detail

NPI Number 1932220829
Provider Enumeration Date 2007-04-02
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 202 E Howard St
City Pontiac
State Illinois (IL)
Post Code 617641920
Phone Number 8158447111
Fax Number 8158421061

Provider's Primary Taxonomy Detail

Speciality Land Transport
Taxonomy 3416L0300X
Licence No 26718
Definition:
Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5390001 IL BLUE CROSS BLUE SHIELD
P00221706 IL RAILROAD MEDICARE
1803 IL HEALTH ALLIANCE

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FAQs about Gerald M Duffy Trust Uw

What is the Gerald M Duffy Trust Uw's 1932220829?

The Gerald M Duffy Trust Uw's NPI (National Provider Identifier) Number is 1932220829. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gerald M Duffy Trust Uw?

The Gerald M Duffy Trust Uw is physically situated at 202 E Howard St, in the city of Pontiac, state of IL, with the postal code 617641920.

What is Gerald M Duffy Trust Uw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gerald M Duffy Trust Uw's specialized field of practice is Land Transport, and the corresponding taxonomy code that categorizes this area of specialization is 3416L0300X.

When did Gerald M Duffy Trust Uw receive its 1932220829 assignment?

The Gerald M Duffy Trust Uw was assigned its 1932220829 on 2007-04-02, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Gerald M Duffy Trust Uw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gerald M Duffy Trust Uw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.

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