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Organization
MEDSTAR AMBULANCE INC
Active
Organization
MEDSTAR AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH D KELLEY (HUMAN RESOURCE MANAGER)
(618) 443-5061
Entity
Organization
Contact information
Practice address
705 BRADBURY LN, SPARTA, IL 62286-2102
(618) 443-5061
(618) 443-3897
Mailing address
PO BOX 296, SPARTA, IL 62286-0296
(618) 443-5061
(618) 443-3897
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4837
IL
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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