# GLADSTONE AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1346451242
- **Authorized official:** MRS. ELAINE KENDALL (BILLING OFFICER)
- **Authorized official phone:** (309) 627-2944

## Contact information

- **Practice address:** 106 E WALNUT ST, GLADSTONE, IL 61437-0219
- **Practice address phone:** (309) 627-2123
- **Mailing address:** PO BOX 219, GLADSTONE, IL 61437-0219
- **Mailing address phone:** (309) 627-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1770780 | IL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 04/20/2008