Provider Demographics
NPI:1962659888
Name:CARDINAL EMS LTD
Entity Type:Organization
Organization Name:CARDINAL EMS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-439-0196
Mailing Address - Street 1:1624 N MAIN ST
Mailing Address - Street 2:PO BOX 1117
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812-1900
Mailing Address - Country:US
Mailing Address - Phone:618-439-0196
Mailing Address - Fax:618-439-7138
Practice Address - Street 1:1624 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812-1900
Practice Address - Country:US
Practice Address - Phone:618-439-0196
Practice Address - Fax:618-439-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)