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Contact Information

NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC
114 E STATE
PALMYRA, IL62674
 Phone: 217-436-2015
 Fax: 217-436-2015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC

NPI # 1770634438
LBN Legal business name NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC
Authorized official GENE LUTTERL - (FIRE CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 04/20/2008 - About 18 years ago
Identifiers
IL License # 3435
IL Other 5932014 BCBS
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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