Provider Demographics
NPI:1497948905
Name:CITY OF GALVA
Entity Type:Organization
Organization Name:CITY OF GALVA
Other - Org Name:GBEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-932-2555
Mailing Address - Street 1:210 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:GALVA
Mailing Address - State:IL
Mailing Address - Zip Code:61434-1367
Mailing Address - Country:US
Mailing Address - Phone:309-932-2555
Mailing Address - Fax:309-932-3306
Practice Address - Street 1:320 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:GALVA
Practice Address - State:IL
Practice Address - Zip Code:61434-1367
Practice Address - Country:US
Practice Address - Phone:309-932-2120
Practice Address - Fax:309-932-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILEMS24575341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance