Organization
POLO COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB CASSEN (PRESIDENT)
(815) 946-2153
Entity
Organization
Contact information
Practice address
206 S FRANKLIN AVE, POLO, IL 61064-1716
(815) 946-2153
(815) 946-4266
Mailing address
206 S FRANKLIN AVE, POLO, IL 61064-1716
(815) 946-2153
(815) 946-4266
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
02/10/2009
Last updated
02/19/2010
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