# ANDALUSIA VOLUNTEER AMBULANCE

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

## Provider details

- **NPI number:** 1548375769
- **Authorized official:** CINDY CULLEN (BUSINESS MANAGER)
- **Authorized official phone:** (309) 798-5406

## Contact information

- **Practice address:** 220 6TH AVE. W., ANDALUSIA, IL 61232-0265
- **Practice address phone:** (309) 798-5406
- **Practice address fax:** (309) 798-5406
- **Mailing address:** 220 6TH AVE. W., PO BOX 265, ANDALUSIA, IL 61232-0265
- **Mailing address phone:** (309) 798-5406
- **Mailing address fax:** (309) 798-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 22560 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020