# POPE COUNTY VOLUNTEER AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1740296219
- **Authorized official:** MS. SABRINA D BANKS EMT PARAMEDIC (DIRECTOR)
- **Authorized official phone:** (618) 683-2707

## Contact information

- **Practice address:** 407 E MAIN ST, GOLCONDA, IL 62938
- **Practice address phone:** (618) 683-2707
- **Practice address fax:** (618) 683-2707
- **Mailing address:** 407 E MAIN ST, GOLCONDA, IL 62938
- **Mailing address phone:** (618) 683-2707
- **Mailing address fax:** (618) 683-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 501701 | IL | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 07/18/2012