# ALHAMBRA AMBULANCE SERVICE FUND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alhambra - Hamel Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528106200
- **Authorized official:** MRS. MICHELE M LOGUE PARAMEDIC (MANAGER)
- **Authorized official phone:** (618) 633-2205

## Contact information

- **Practice address:** 401 OLD RTE 66 NORTH, HAMEL, IL 62046
- **Practice address phone:** (618) 633-2205
- **Practice address fax:** (618) 633-2110
- **Mailing address:** 401 OLD RTE 66 NORTH, PO BX 261, HAMEL, IL 62046
- **Mailing address phone:** (618) 633-2205
- **Mailing address fax:** (618) 633-2110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 4 4821 | IL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 02/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590155602 | RAIL ROAD MEDICARE | IL |