Organization
EASTERN MARSHALL COUNTY EMS
Active
Other names
Eastern Marshall County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA STIPP (ADMINISTRATIVE SUPERVISOR)
(815) 853-0044
Entity
Organization
Contact information
Practice address
210 NORTH CHESTNUT ST, WENONA, IL 61377-0708
(815) 853-0044
(815) 853-0044
Mailing address
PO BOX 708, 210 NORTH CHESTNUT ST, WENONA, IL 61377-0708
(815) 853-0044
(815) 452-4329
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
22565
IL
3416L0300X
Land Ambulance
Primary
22565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590015425
PALMETTO GBA
IL
Enumeration date
02/09/2007
Last updated
01/29/2026
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