Provider Demographics
NPI:1083897045
Name:ADAMS COUNTY R S V P
Entity Type:Organization
Organization Name:ADAMS COUNTY R S V P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOSNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-641-4960
Mailing Address - Street 1:1301 S 48TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62305-8736
Mailing Address - Country:US
Mailing Address - Phone:217-641-4960
Mailing Address - Fax:217-641-4900
Practice Address - Street 1:1301 S 48TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62305-8736
Practice Address - Country:US
Practice Address - Phone:217-641-4960
Practice Address - Fax:217-641-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle