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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 Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for FARMERVILLE WAGGONER AREA AMBULANCE SERVICE

NPI Number 1528157294
LBN Legal business name FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
Authorized official MAURICA MANLEY - (BILLING AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Medicaid 37121591101
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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