| Organization Name: | SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC |
| NPI Number: | 1407856974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES R HARGITT (EMS COORDINATOR) |
| Mailing Address: | 311 E Chestnut St Fairbury |
| State: | IL US |
| Postal Code: | 617391664 |
| Phone Number: | 8156923452 |
| Fax Number: | 8156922414 |
| NPI Enumeration Date: | 07/27/2005 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 26721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |