VITAL AMBULANCE SERVICES LLC; NPI #1093372187

Contact Information

VITAL AMBULANCE SERVICES LLC

18781 90TH AVE.
SUITE A
MOKENA, IL 60448

Phone: 708-305-6317
Fax:
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 VITAL AMBULANCE SERVICES LLC

NPI #	`1093372187`
LBN Legal business name	VITAL AMBULANCE SERVICES LLC
Authorized official	TRACE VANDENBERG - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/23/2019
Last updated	05/23/2019 - About 7 years ago
Identifiers	n/a

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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