Organization · Type 2 NPI
Cerro Gordo Comm Amb SRVC
Land Ambulance · Cerro Gordo, IL
NPI number
1013050897
Active
Practice location
304 E North St
Cerro Gordo, IL 61818-0181
Fax (217) 763-6173
Mailing address
PO Box 181, 304 E North St
Cerro Gordo, IL 61818-0181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 66541 (IL) |
Land Ambulance: Definition to come...
About NPI 1013050897
Cerro Gordo Comm Amb SRVC's National Provider Identifier is 1013050897, issued on Feb 14, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Cerro Gordo, IL. The record was last updated on Apr 20, 2008.