# CERRO GORDO COMM AMB SRVC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013050897
- **Authorized official:** CURT VULGAMOTT (BOARD OF DIRECTORS PRESIDENT)
- **Authorized official phone:** (217) 763-5251

## Contact information

- **Practice address:** 304 E NORTH ST, CERRO GORDO, IL 61818-0181
- **Practice address phone:** (217) 763-5251
- **Practice address fax:** (217) 763-6173
- **Mailing address:** PO BOX 181, 304 E NORTH ST, CERRO GORDO, IL 61818-0181
- **Mailing address phone:** (217) 763-5251
- **Mailing address fax:** (217) 763-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 66541 | IL | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 04/20/2008