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DALEYS MEDICAL TRANSPORTATION INC NPI 1710941588


NPI Information

NPI: 1710941588
Provider Name: DALEYS MEDICAL TRANSPORTATION INC

Doing Business As: BUD'S AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 14D2211869

Address:
1234 E SIBLEY BLVD
DOLTON, IL
ZIP 60419
Phone: (708) 849-0945
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DALEYS MEDICAL TRANSPORTATION INC is a land transport ambulance in Dolton, IL. DALEYS MEDICAL TRANSPORTATION INC NPI is 1710941588. The provider is registered as an organization entity type.
The provider Is Doing Business As Bud's Ambulance Service.

The provider's business location address is:

1234 E SIBLEY BLVD
DOLTON, IL
ZIP 60419-944
Phone: (708) 849-0945
Fax: (708) 849-0997

The provider's authorized official is Tom Wappel .
The authorized official title is Vice President and has the following contact phone number (708) 849-0945.

The CLIA number assigned to this NPI record is 14D2211869 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 4/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport77971ILLINOISYes

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
101630274OTHERILLINOISBCBS ILLINOIS
2590014679OTHERILLINOISRAILROAD MEDICARE
3=========001MEDICAIDILLINOIS
4703760MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE ID

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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