Organization
GILLESPIE-BENLD AREA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE P NORVILLE (BOARD PRESIDENT)
(217) 839-3032
Entity
Organization
Contact information
Practice address
208 CHARLES ST, GILLESPIE, IL 62033-2117
(217) 839-3032
(217) 839-3053
Mailing address
208 CHARLES ST, GILLESPIE, IL 62033-2117
(217) 839-3032
(217) 839-3053
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590004529
RR MEDICARE
GA
Enumeration date
06/17/2006
Last updated
05/07/2020
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