Healthcare Provider Details

I. General information

NPI: 1275481608
Provider Name (Legal Business Name): LOOKINGGLASS EMERGENCY SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 E CEDAR ST
NEW BADEN IL
62265-1534
US

IV. Provider business mailing address

1214 E CEDAR ST
NEW BADEN IL
62265-1534
US

V. Phone/Fax

Practice location:
  • Phone: 618-910-4436
  • Fax:
Mailing address:
  • Phone: 618-910-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLEN GILBERT
Title or Position: CHIEF
Credential: EMTP
Phone: 618-910-4436