Organization
MILLSTADT AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE GOETZ (CHIEF)
(618) 476-1201
Entity
Organization
Contact information
Practice address
100 E LAUREL ST, MILLSTADT, IL 62260-1510
(618) 476-1201
Mailing address
PO BOX 547, WHEELING, IL 60090-0547
(618) 476-1201
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
34
IL
Other
Enumeration date
03/21/2007
Last updated
02/07/2026
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