| Organization Name: | ALTAMONT AMBULANCE SERVICE, INC. |
| NPI Number: | 1336245315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY DOUGLAS WHITE (CEO) |
| Mailing Address: | 2 S Main St Altamont |
| State: | IL US |
| Postal Code: | 624111134 |
| Phone Number: | 6184836804 |
| Fax Number: | 6184835546 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |