Organization
LACON SPARLAND EMERGENCY 52
Active
Other names
LACON SPARLAND EMERGENCY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BORQUIST (DIRECTOR)
(309) 246-4095
Entity
Organization
Contact information
Practice address
921 5TH ST, LACON, IL 61540-1315
(309) 246-4095
Mailing address
PO BOX 52, LACON, IL 61540-0052
(309) 246-4095
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02 2527
IL
Other
Enumeration date
12/01/2006
Last updated
01/09/2013
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