Organization
GLADSTONE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE KENDALL (BILLING OFFICER)
(309) 627-2944
Entity
Organization
Contact information
Practice address
106 E WALNUT ST, GLADSTONE, IL 61437-0219
(309) 627-2123
Mailing address
PO BOX 219, GLADSTONE, IL 61437-0219
(309) 627-2123
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1770780
IL
Other
Enumeration date
05/24/2007
Last updated
04/20/2008
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