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Contact Information

GREENE COUNTY AMBULANCE
800 SCHOOL ST
CARROLLTON, IL62016-1436
 Phone: 217-942-5554
 Fax: 217-942-9349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for GREENE COUNTY AMBULANCE

NPI Number 1154497170
LBN Legal business name GREENE COUNTY AMBULANCE
Authorized official STACE HOLLAND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 04/22/2024 - About 2 years ago
Identifiers
IL License # 1707716
IL Medicaid 376000925001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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