| Organization Name: | GILLESPIE-BENLD AREA AMBULANCE SERVICE, INC. |
| NPI Number: | 1184669822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE P NORVILLE (BOARD PRESIDENT) |
| Mailing Address: | 208 Charles St Gillespie |
| State: | IL US |
| Postal Code: | 620332117 |
| Phone Number: | 2178393032 |
| Fax Number: | 2178393053 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 3010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |