Organization
COUNTY OF CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI HIGGINBOTHAM (COUNTY TREASURER)
(217) 826-5721
Entity
Organization
Contact information
Practice address
501 ARCHER AVE, MARSHALL, IL 62441-1275
(217) 382-4642
(217) 382-4676
Mailing address
501 ARCHER AVE, MARSHALL, IL 62441-1275
(217) 382-4642
(217) 382-4676
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6-6745
IL
Other
Enumeration date
03/20/2007
Last updated
03/20/2012
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