ALTAMONT AMBULANCE SERVICE INC. NPI 1336245315

NPI Information

NPI: 1336245315
Provider Name: ALTAMONT AMBULANCE SERVICE, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2 S MAIN ST
ALTAMONT, IL
ZIP 62411
Phone: (618) 483-6804
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ALTAMONT AMBULANCE SERVICE, INC. is a land transport ambulance in Altamont, IL. ALTAMONT AMBULANCE SERVICE, INC. NPI is 1336245315. The provider is registered as an organization entity type.

The provider's business location address is:

2 S MAIN ST
ALTAMONT, IL
ZIP 62411-134
Phone: (618) 483-6804
Fax: (618) 483-5546

The provider's authorized official is Terry Douglas White .
The authorized official title is Ceo and has the following contact phone number (618) 483-6804.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/2/2010.

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	5216	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	204030	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	590007400	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RAILROAD MEDICARE

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

NPI Synchronization or Removal

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