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Contact Information

STARK COUNTY AMBULANCE SERVICE INC
114 N FRANKLIN ST
TOULON, IL61483
 Phone: 309-286-7154
 Fax: 309-286-0028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for STARK COUNTY AMBULANCE SERVICE INC

NPI Number 1134131949
LBN Legal business name STARK COUNTY AMBULANCE SERVICE INC
Authorized official JAMES ROESNER - (OWNER DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2006
Last updated 08/21/2018 - About 8 years ago
Identifiers
IL License # 2574
IL Other P00047628 RAILROAD MEDICARE CARRIER
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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