ADVANCE EMS OF DIXON, INC.; NPI #1427118900

Contact Information

ADVANCE EMS OF DIXON, INC.

700 COUNTRYSIDE LN
DIXON, IL 61021-3914

Phone: 815-288-6717
Fax: 815-288-2379
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 ADVANCE EMS OF DIXON, INC.

NPI # 1427118900

LBN Legal business name ADVANCE EMS OF DIXON, INC.

Authorized official KEVIN ROGERS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/12/2006

Last updated 10/31/2023 - About 3 years ago

Identifiers

License #

1410

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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