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Organization

NORTH WAYNE COUNTY AMBULANCE SERVICE

Active
Other names
Special Service Area #2
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DON E BARRETT (COORDINATOR)
(618) 673-2046
Entity
Organization

Contact information

Practice address
501 PARK STREET, CISNE, IL 62823-0133
(618) 673-3011
(618) 673-3011
Mailing address
PO BOX 133, 501 PARK STREET, CISNE, IL 62823-0133
(618) 673-3011

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5014-01
IL

Other

Enumeration date
09/22/2005
Last updated
12/27/2011
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