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Contact Information

MOWEAQUA COMMUNITY AMBULANCE SERVICE
120 W WALL ST
MOWEAQUA, IL62550-1158
 Phone: 217-768-3313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MOWEAQUA COMMUNITY AMBULANCE SERVICE

NPI Number 1649301326
LBN Legal business name MOWEAQUA COMMUNITY AMBULANCE SERVICE
Authorized official JAMES JORDAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 669201
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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