Organization
RURALMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN BOUSER (CEO/PRESIDENT)
(618) 245-1052
Entity
Organization
Contact information
Practice address
100 S OAK ST, FARINA, IL 62838-1282
(618) 245-1052
Mailing address
100 S OAK ST, FARINA, IL 62838-1282
(618) 245-1052
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
10/21/2016
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