# LACON SPARLAND EMERGENCY 52

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LACON SPARLAND EMERGENCY AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194893578
- **Authorized official:** KIMBERLY BORQUIST (DIRECTOR)
- **Authorized official phone:** (309) 246-4095

## Contact information

- **Practice address:** 921 5TH ST, LACON, IL 61540-1315
- **Practice address phone:** (309) 246-4095
- **Mailing address:** PO BOX 52, LACON, IL 61540-0052
- **Mailing address phone:** (309) 246-4095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 02 2527 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/09/2013