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Organization

WHITE COUNTY AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA K BROCK (EMT)
(618) 382-2604
Entity
Organization

Contact information

Practice address
314 E CHERRY ST, CARMI, IL 62821-1853
(618) 382-2604
(618) 384-4084
Mailing address
PO BOX 339, CARMI, IL 62821-0339
(618) 382-2406
(618) 384-4084

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS216070
IL

Other

Enumeration date
08/19/2016
Last updated
08/19/2016
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