Organization
WINCHESTER EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY A DOLEN (PRESIDENT)
(217) 742-3467
Entity
Organization
Contact information
Practice address
734 STATE HIGHWAY 106, WINCHESTER, IL 62694-1036
(217) 742-3467
(217) 742-3733
Mailing address
734 STATE HIGHWAY 106 SOUTH, PO BOX 122, WINCHESTER, IL 62694-1215
(217) 742-3467
(217) 742-3733
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3096
IL
Other
Enumeration date
11/15/2006
Last updated
05/26/2015
Update your record
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