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Organization
SALINE COUNTY AMBULANCE SERVICE, INC.
Active
Organization
SALINE COUNTY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY L COLYER (PRESIDENT)
(618) 922-8670
Entity
Organization
Contact information
Practice address
205 S SHAW ST, HARRISBURG, IL 62946-1864
(618) 997-4915
(618) 993-3386
Mailing address
808 E DEYOUNG ST, MARION, IL 62959-3333
(618) 997-4915
(618) 993-3386
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NULL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007630
HEALTH ALLIANCE
—
01
—
141141
HEALTHLINK, INC
—
01
—
590004483
RAILROAD MEDICARE
—
01
—
8181367
UNITED HEALTHCARE
—
01
—
8370902
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/06/2006
Last updated
07/29/2019
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