# MASSAC EMS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MASSAC COUNTY HOSPITAL DISTRICT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104283035
- **Legal business name:** MASSAC COUNTY HOSPITAL DISTRICT
- **Authorized official:** MR. RANDALL L RUSHING (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (618) 524-2176

## Contact information

- **Practice address:** 28 CHICK ST, METROPOLIS, IL 62960-2467
- **Practice address phone:** (618) 524-2176
- **Practice address fax:** (618) 524-8224
- **Mailing address:** 28 CHICK ST, METROPOLIS, IL 62960-2467
- **Mailing address phone:** (618) 524-2176
- **Mailing address fax:** (618) 524-8224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0551380 | IL | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 01/22/2016