| NPI | 1346325701 |
|---|---|
| Other Name | MASCOUTAH AMBULANCE SERVICE |
| Entity Type | Organization |
| Authorized Contact | JEREMY GOTTSCHAMMER Supervisor 800-538-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 4851) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-06-23 |