# COUNTY OF CLARK

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

## Provider details

- **NPI number:** 1710002589
- **Authorized official:** SHERI HIGGINBOTHAM (COUNTY TREASURER)
- **Authorized official phone:** (217) 826-5721

## Contact information

- **Practice address:** 501 ARCHER AVE, MARSHALL, IL 62441-1275
- **Practice address phone:** (217) 382-4642
- **Practice address fax:** (217) 382-4676
- **Mailing address:** 501 ARCHER AVE, MARSHALL, IL 62441-1275
- **Mailing address phone:** (217) 382-4642
- **Mailing address fax:** (217) 382-4676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6-6745 | IL | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 03/20/2012