| Organization Name: | NORRIS CITY COMMUNITY AMBULANCE SERVICE |
| NPI Number: | 1437238029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATSY MAE ADKINS (EMT DIRECTOR) |
| Mailing Address: | 211 E Main St. Norris City |
| State: | IL US |
| Postal Code: | 62869 |
| Phone Number: | 6183782112 |
| Fax Number: | 6183783320 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | E9941-0125-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |