Organization
COULTERVILLE EMERGENCY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E CURRY (CLERKTREASURER)
(618) 758-2813
Entity
Organization
Contact information
Practice address
114 N. FOURTH STREET, COULTERVILLE, IL 62237-0374
(618) 758-2813
Mailing address
114 N. FOURTH STREET, P.O. BOX 374, COULTERVILLE, IL 62237-0374
(618) 758-2813
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4 4834
IL
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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