Provider Demographics
NPI:1881691665
Name:SCHUYLER COUNTY
Entity type:Organization
Organization Name:SCHUYLER COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-322-6680
Mailing Address - Street 1:234 S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62681-1344
Mailing Address - Country:US
Mailing Address - Phone:217-322-6680
Mailing Address - Fax:217-322-6400
Practice Address - Street 1:234 S MONROE ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681-1344
Practice Address - Country:US
Practice Address - Phone:217-322-6680
Practice Address - Fax:217-322-6400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SCHUYLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-07
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30973416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL59000016OtherRAILROAD MEDICARE
IL=========001Medicaid
IL=========001Medicaid