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MERCY AMBULANCE SERVICE LLC NPI 1275708752


NPI Information

NPI: 1275708752
Provider Name: MERCY AMBULANCE SERVICE LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1025 CAMPTON DR
ROCKFORD, IL
ZIP 61102
Phone: (815) 262-1213
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MERCY AMBULANCE SERVICE LLC is a land transport ambulance in Rockford, IL. MERCY AMBULANCE SERVICE LLC NPI is 1275708752. The provider is registered as an organization entity type.

The provider's business location address is:

1025 CAMPTON DR
ROCKFORD, IL
ZIP 61102-066
Phone: (815) 262-1213

The provider's authorized official is Robert Scott Esmond .
The authorized official title is President and has the following contact phone number (815) 262-1213.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 1/26/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL1034MEDICARE PINILLINOIS

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: 4/28/2024

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