PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE; NPI #1699701763

Contact Information

PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE

100 NORTH MAIN STREET
HERSCHER, IL 60941

Phone: 815-426-2143
Fax: 815-426-2168
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE

NPI Number 1699701763

LBN Legal business name PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE

Authorized official DENNIS SCHWARK - (FINANCE TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/23/2006

Last updated 05/19/2008 - About 18 years ago

Identifiers

IL	License #	7252
IL	Other	4670571	BCBS
IL	Other	P00056044	RR MEDICARE

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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