Organization · Type 2 NPI

County of Clark

Land Ambulance · Marshall, IL

NPI number 1710002589 Active

Practice location

501 Archer Ave
Marshall, IL 62441-1275

Fax (217) 382-4676

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X6-6745 (IL)

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About NPI 1710002589

County of Clark's National Provider Identifier is 1710002589, issued on Mar 20, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Marshall, IL. The record was last updated on Mar 20, 2012.