Organization
LOVINGTON COMMUNITY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J VALA (BILLING AGENT)
(309) 691-4400
Entity
Organization
Contact information
Practice address
127 WEST STATE STREET, LOVINGTON, IL 61937
(309) 687-5600
(309) 687-5640
Mailing address
2938 W PARKWOOD DR, PEORIA, IL 61614-2476
(309) 691-4400
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
05/01/2012
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