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Organization

COUNTY OF MONROE

Active
Other names
MONROE COUNTY AMBULANCE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HEISE (DIRECTOR)
(618) 939-6175
Entity
Organization

Contact information

Practice address
901 ILLINOIS AVE, SUITE C, WATERLOO, IL 62298-1142
(618) 939-6175
Mailing address
901 ILLINOIS AVE, SUITE C, WATERLOO, IL 62298-1142
(618) 939-6175

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
44862
IL

Other

Enumeration date
10/27/2005
Last updated
06/06/2011
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