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Contact Information

POLO COMMUNITY AMBULANCE SERVICE
206 S FRANKLIN AVE
POLO, IL61064-1716
 Phone: 815-946-2153
 Fax: 815-946-4266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for POLO COMMUNITY AMBULANCE SERVICE

NPI # 1720227069
LBN Legal business name POLO COMMUNITY AMBULANCE SERVICE
Authorized official BOB CASSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2009
Last updated 02/19/2010 - About 16 years ago
Identifiers n/a
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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