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Organization

RURAL POPE COUNTY EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNE RENEE LIGHT EMT (DIRECTOR/EMT)
(618) 683-2919
Entity
Organization

Contact information

Practice address
19 EDDYVILLE BLACKTOP RD, GOLCONDA, IL 62938
(618) 683-2919
(618) 683-2922
Mailing address
19 EDDYVILLE BLACKTOP RD, GOLCONDA, IL 62938
(618) 683-2919
(618) 683-2922

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
12/06/2021
Last updated
10/27/2025
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