# COUNTY OF ALEXANDER ALEXANDER COUNTY COURT HOUSE

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

## Provider details

- **NPI number:** 1447288360
- **Authorized official:** MRS. SUSAN R BIGHAM (DIRECTOR)
- **Authorized official phone:** (618) 776-5958

## Contact information

- **Practice address:** 26711 STATE HIGHWAY 3, OLIVE BRANCH, IL 62969-0190
- **Practice address phone:** (618) 776-5958
- **Practice address fax:** (618) 776-5960
- **Mailing address:** PO BOX 190, 26711 STATE HIGHWAY 3, OLIVE BRANCH, IL 62969-0190
- **Mailing address phone:** (618) 776-5958
- **Mailing address fax:** (618) 776-5960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 03/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 690332980001 | — | IL |
| 05 | — | 69033298001 | — | IL |