PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO; NPI #1770617748

Contact Information

PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO

610 S SPRINGFIELD ST
VIRDEN, IL 62690-0023

Phone: 217-965-5999
Fax: 217-965-5714
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO

NPI Number 1770617748

LBN Legal business name PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO

Authorized official JOHN EARLEY - (BOARD PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2007

Last updated 10/25/2023 - About 3 years ago

Identifiers

IL	License #	33643
IL	License #	3643
IL	Other	0005932045	BLUE CROSS BLUE SHIELD
IL	Other	613448800	DOL/OWEP

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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PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO

Contact Information

Specialty

Land Transport

Ambulance

NPI Profile & details for PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO

Reviews for PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO