# COUNTY OF WHITE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White County Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841220688
- **Authorized official:** LANCE TROUSDALE (FIRE CHIEF)
- **Authorized official phone:** (618) 382-2604

## Contact information

- **Practice address:** 314 E CHERRY ST, CARMI, IL 62821-1862
- **Practice address phone:** (618) 382-2604
- **Practice address fax:** (618) 384-4084
- **Mailing address:** 314 E CHERRY ST, PO BOX 339, CARMI, IL 62821-1862
- **Mailing address phone:** (618) 382-2604
- **Mailing address fax:** (618) 384-4084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5004 | IL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 03/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 613693900 | DEPT OF LABOR OWCP | IL |
| 01 | — | 9770572 | BCBS | IL |