Organization
ALTAMONT AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DOUGLAS WHITE (CEO)
(618) 483-6804
Entity
Organization
Contact information
Practice address
2 S MAIN ST, ALTAMONT, IL 62411-1134
(618) 483-6804
(618) 483-5546
Mailing address
PO BOX 154, ALTAMONT, IL 62411-0154
(618) 483-6804
(618) 483-5546
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5216
IL
Other
Enumeration date
09/16/2006
Last updated
07/02/2010
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