Organization
SHELBY AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE R COVENTRY PA (PRESIDENT)
(217) 774-2608
Entity
Organization
Contact information
Practice address
310 N CEDAR ST, SHELBYVILLE, IL 62565-1000
(217) 774-2608
Mailing address
310 N CEDAR ST, SHELBYVILLE, IL 62565-1000
(217) 774-2608
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6-6710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8721485
BCBSIL
IL
Enumeration date
06/10/2005
Last updated
08/22/2020
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