# ALTAMONT AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1336245315
- **Authorized official:** MR. TERRY DOUGLAS WHITE (CEO)
- **Authorized official phone:** (618) 483-6804

## Contact information

- **Practice address:** 2 S MAIN ST, ALTAMONT, IL 62411-1134
- **Practice address phone:** (618) 483-6804
- **Practice address fax:** (618) 483-5546
- **Mailing address:** PO BOX 154, ALTAMONT, IL 62411-0154
- **Mailing address phone:** (618) 483-6804
- **Mailing address fax:** (618) 483-5546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5216 | IL | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/02/2010