NPI 1013050897

Cerro Gordo Comm Amb Srvc

Organisation Land Ambulance Cerro Gordo, IL

Practice location

Address: 304 E North St, Cerro Gordo, IL 61818-0181
Phone: (217) 763-5251
Fax: (217) 763-6173
Mailing address: PO Box 181 304 E North St, Cerro Gordo, IL 61818-0181

Authorised official

Name: Curt Vulgamott
Title: Board of Directors President
Phone: (217) 763-5251

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 66541 (IL)

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Registry record

NPI: 1013050897
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.