Organization
EDGAR COUNTY SPECIAL SERVICE AREA AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTA CARY (SECRETARY)
(217) 463-5200
Entity
Organization
Contact information
Practice address
1703 S MAIN ST, PARIS, IL 61944-2944
(217) 463-5200
(217) 463-5112
Mailing address
PO BOX 937, PARIS, IL 61944-0937
(217) 463-5200
(217) 463-5112
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
66706
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327921
BLUE CROSS BLUE SHIELD
IL
01
—
P00079793
RAILROAD MEDICARE
IL
Enumeration date
08/18/2006
Last updated
08/22/2020
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