ERICKSON AMBULANCE LLC; NPI #1508236431

Contact Information

ERICKSON AMBULANCE LLC

9850 W 190TH ST
SUITE B-10
MOKENA, IL 60448-5604

Phone: 708-995-1192
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Secured Medical Transport (VAN)	343800000X

Indicates primary specialty

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NPI Profile & details for ERICKSON AMBULANCE LLC

NPI Number 1508236431

LBN Legal business name ERICKSON AMBULANCE LLC

Authorized official CHRISTI VOGRIG - (DIRECTOR OF PATIENT ACCOUNTS)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2015

Last updated 10/05/2015 - About 11 years ago

Identifiers

WI	License #	6000405
WI	Medicaid	41320700

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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