Organization
POPE COUNTY VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA D BANKS EMT PARAMEDIC (DIRECTOR)
(618) 683-2707
Entity
Organization
Contact information
Practice address
407 E MAIN ST, GOLCONDA, IL 62938
(618) 683-2707
(618) 683-2707
Mailing address
407 E MAIN ST, GOLCONDA, IL 62938
(618) 683-2707
(618) 683-2707
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
501701
IL
Other
Enumeration date
08/01/2006
Last updated
07/18/2012
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