National Provider Identifier Database

FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
301 SOUTH CLEVELAND
FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
FARMERSVILLE, IL62533
Phone: 217-227-4121
Fax:
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for FARMERVILLE WAGGONER AREA AMBULANCE SERVICE

NPI Number 1528157294
Legal business name
LBN
FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
Authorized official MAURICA MANLEY - (BILLING AGENT)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 37121591101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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