HEYWORTH AMBULANCE SERVICE NPI 1619019072

NPI Information

NPI: 1619019072
Provider Name: HEYWORTH AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
707 S VINE ST
HEYWORTH, IL
ZIP 61745
Phone: (309) 473-2149
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HEYWORTH AMBULANCE SERVICE is a land transport ambulance in Heyworth, IL. HEYWORTH AMBULANCE SERVICE NPI is 1619019072. The provider is registered as an organization entity type.

The provider's business location address is:

707 S VINE ST
HEYWORTH, IL
ZIP 61745-258
Phone: (309) 473-2149
Fax: (309) 473-2473

The provider's authorized official is Judy Mowery .
The authorized official title is Ems Captain and has the following contact phone number (309) 261-3126.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/2/2012.

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
1	3416L0300X	Ambulance	Land Transport	26737	ILLINOIS	Yes

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
1	=========001	MEDICAID	ILLINOIS
2	590013395	OTHER	ILLINOIS	PALMETTO GBA
3	=========T	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
4	273600	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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

NPI Synchronization or Removal

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