Organization
PERRY COUNTY TRANS VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIA A ZACHER (OFFICE MANAGER)
(618) 357-3202
Entity
Organization
Contact information
Practice address
602 S DOUGLAS ST, PINCKNEYVILLE, IL 62274
(618) 357-3202
(618) 357-6512
Mailing address
602 S DOUGLAS ST, PINCKNEYVILLE, IL 62274
(618) 357-3202
(618) 357-6512
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
09/02/2009
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