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Contact Information

GALESBURG HOSPITALS' AMBULANCE SERVICE
2175 WINDISH DR
GALESBURG, IL61401-9776
 Phone: 309-342-5144
 Fax: 309-342-4834
 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 GALESBURG HOSPITALS' AMBULANCE SERVICE

NPI # 1528051752
LBN Legal business name GALESBURG HOSPITALS' AMBULANCE SERVICE
Authorized official MICHAEL WIGNALL - (ACCOUNTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2005
Last updated 05/10/2012 - About 14 years ago
Identifiers
IL License # 022603
IL License # 2603
IL Other 0004870049 BLUE CROSS BLUE SHIELD
IL Other 14D0889590 CLIA
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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