MARSEILLES AREA AMBULANCE SERV INC; NPI #1033265939

Contact Information

MARSEILLES AREA AMBULANCE SERV INC

207 LINCOLN ST
MARSEILLES, IL 61341-1904

Phone: 815-795-7387
Fax: 815-795-3127
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for MARSEILLES AREA AMBULANCE SERV INC

NPI Number 1033265939

LBN Legal business name MARSEILLES AREA AMBULANCE SERV INC

Authorized official DON MODEEN - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2007

Last updated 09/16/2012 - About 14 years ago

Identifiers

IL	License #	2 2553
	Other	215520300	DOL
IL	Other	0005090010	BCBS
IL	Other	590128782	RAILROAD MEDICARE

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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