# ROSEVILLE AREA AMBULANCE SVC

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

## Provider details

- **NPI number:** 1598833915
- **Authorized official:** MARY ELLEN ADKISSON (PRESIDENT)
- **Authorized official phone:** (309) 337-3844

## Contact information

- **Practice address:** 571 STATE HIGHWAY 116, ROSEVILLE, IL 61473-9666
- **Practice address phone:** (309) 426-1804
- **Mailing address:** PO BOX 551, ROSEVILLE, IL 61473-0551
- **Mailing address phone:** (309) 426-1804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 02 2508 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 12/14/2012