Organization
MARION COUNTY AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA J ISAIAH (OWNER)
(618) 775-8148
Entity
Organization
Contact information
Practice address
110 S. WOOD ST., 207, ODIN, IL 62870-1185
(618) 775-8148
(618) 775-8149
Mailing address
110 S. WOOD ST., P.O. BOX 207, ODIN, IL 62870-1185
(618) 775-8148
(618) 775-8149
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006122191
BLUE SHEILD
IL
01
—
389180
HEALTHLINK
IL
Enumeration date
04/06/2007
Last updated
07/21/2022
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