Gulfport Ambulance Service

NPI 1467664938 - Ambulance - 3416L0300X

NPI Details
NPI 1467664938
Enumeration Date 05/04/2007
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ED ED
Position DIRECTOR
Phone (309) 873-2575
Fax
Practice Location
RR 1 BOX 84
CARMAN IL, 61425-9718, US
Phone (309) 873-2575
Fax
Business Location
RR 1 BOX 84
CARMAN IL, 61425-9718, US
Phone
Fax
Toxanomy
Taxonomy Code 3416L0300X
License State Illinois
License Number 1770779
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According to our database, Gulfport Ambulance Service NPI is 1467664938, taxonomy code is 3416L0300X and license number is 1770779, license state is located at Illinois. Gulfport Ambulance Service physically located at Rr 1 Box 84, Carman IL, 61425-9718. NPI Number 1033115704 has the healthcare provider type.

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1467664938 NPI number is provided on an as is basis without warranty of any kind. 1467664938 is maintained by the National Plan & Provider Enumeration System. The contents of Gulfport Ambulance Service are for informational purposes only.