Organization Name: | PINCKNEYVILLE AMBULANCE SERVICE |
NPI Number: | 1013960715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATSY G. LIPE (OFFICE MANAGER) |
Mailing Address: | 508 S Main St Pinckneyville |
State: | IL US |
Postal Code: | 622741740 |
Phone Number: | 6183572222 |
Fax Number: | 6183576512 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 05/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 55158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |