Organization
ROSEVILLE AREA AMBULANCE SVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ADKISSON (PRESIDENT)
(309) 337-3844
Entity
Organization
Contact information
Practice address
571 STATE HIGHWAY 116, ROSEVILLE, IL 61473-9666
(309) 426-1804
Mailing address
PO BOX 551, ROSEVILLE, IL 61473-0551
(309) 426-1804
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02 2508
IL
Other
Enumeration date
12/01/2006
Last updated
12/14/2012
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