# LOVINGTON COMMUNITY AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1265613657
- **Authorized official:** DONNA J VALA (BILLING AGENT)
- **Authorized official phone:** (309) 691-4400

## Contact information

- **Practice address:** 127 WEST STATE STREET, LOVINGTON, IL 61937
- **Practice address phone:** (309) 687-5600
- **Practice address fax:** (309) 687-5640
- **Mailing address:** 2938 W PARKWOOD DR, PEORIA, IL 61614-2476
- **Mailing address phone:** (309) 691-4400

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 05/01/2012