| NPI | 1780639823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D. CAMPBELL President 618-532-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: IL 3633) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-07-17 |