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COUNTY OF WOODFORD VILLAGE OF ROANOKE NPI 1508988288


NPI Information

NPI: 1508988288
Provider Name: COUNTY OF WOODFORD VILLAGE OF ROANOKE

Doing Business As: ROANOKE MUNICIPAL AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
101 N MAIN ST
ROANOKE, IL
ZIP 61561
Phone: (309) 923-3661
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COUNTY OF WOODFORD VILLAGE OF ROANOKE is a land transport ambulance in Roanoke, IL. COUNTY OF WOODFORD VILLAGE OF ROANOKE NPI is 1508988288. The provider is registered as an organization entity type.
The provider Is Doing Business As Roanoke Municipal Ambulance.

The provider's business location address is:

101 N MAIN ST
ROANOKE, IL
ZIP 61561-598
Phone: (309) 923-3661

The provider's authorized official is June Fehr .
The authorized official title is Chief and has the following contact phone number (309) 923-7096.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport2 2503ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1651340MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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