# CITY OF KEITHSBURG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VOLUNTEER AMBULANCE SERVICE OF KEITHSBURG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710055199
- **Authorized official:** JUDITH L BROWN (TREASURER)
- **Authorized official phone:** (309) 374-2414

## Contact information

- **Practice address:** 202 S 6TH ST, KEITHSBURG, IL 61442-5033
- **Practice address phone:** (309) 374-2220
- **Mailing address:** 601 WASHINGTON ST, KEITHSBURG, IL 61442-9627
- **Mailing address phone:** (309) 374-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 000002555 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 05/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 362958288001 | — | IL |