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City Of Grayville

City Of Grayville is a health care provider in Grayville, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 122 S Court St, Grayville, IL 62844-1509, US
Practice Location Phone618-375-3671
Practice Location Fax618-375-7869
Legal Business NameCITY OF GRAYVILLE
Other Organization NameCITY OF GRAYVILLE AMBULANCE SERVICE
Other Organization Name TypeDoing Business As Name
NPI ?1952351330
Entity TypeOrganization
Enumeration Date ? May 10, 2006
Last Update Date ? Sep 15, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of City Of Grayville

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport 5-51208Illinois
AmbulanceLand Transport

legacy-id-icon Legacy Provider IDs of City Of Grayville

Provider IdIssuer StateIssuer TypeIssuer
590009587IllinoisOtherRAILROAD
09730354IllinoisOtherBCBS
=========001IllinoisMedicaid

official-icon Authorized Official of City Of Grayville

An authorized official is an appointed official with the legal authority to make changes and/or updates to the City Of Grayville's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Cindy Anne Judge
Authorized Official Title/PositionPAYROLL CLERK
Authorized Official Phone Number618-375-3671