Organization
ELIZABETH COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E RUDY PASCOE (COORDINATOR)
(815) 858-2404
Entity
Organization
Contact information
Practice address
111 E MYRTLE ST, ELIZABETH, IL 61028-9794
(815) 858-2404
Mailing address
111 E MYRTLE ST, P O BOX 325, ELIZABETH, IL 61028-9794
(815) 858-2404
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1595013
IL
Other
Enumeration date
09/07/2005
Last updated
09/06/2023
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