Organization
GULFPORT AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RONNER (DIRECTOR)
(309) 873-2575
Entity
Organization
Contact information
Practice address
RR 1 BOX 84, CARMAN, IL 61425-9718
(309) 873-2575
Mailing address
RR 1 BOX 84, CARMAN, IL 61425-9718
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1770779
IL
Other
Enumeration date
05/04/2007
Last updated
08/12/2008
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