# GALLATIN COUNTY EMS LLC

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

## Provider details

- **NPI number:** 1144046954
- **Authorized official:** MR. MICHAEL BURFORD (EMS DIRECTOR)
- **Authorized official phone:** (618) 841-3058

## Contact information

- **Practice address:** 391 E. POSEY AVE., SHAWNEETOWN, IL 62984
- **Practice address phone:** (618) 844-3058
- **Practice address fax:** (580) 628-2267
- **Mailing address:** PO BOX 122, SHAWNEETOWN, IL 62984-0122
- **Mailing address phone:** (618) 841-3058
- **Mailing address fax:** (580) 628-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2024
- **Last updated:** 01/30/2025