VILLAGE OF WAYNE CITY NPI 1750436002

NPI Information

NPI: 1750436002
Provider Name: VILLAGE OF WAYNE CITY

Other Name: WAYNE CITY AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
103 MILL STREET
WAYNE CITY, IL
ZIP 62895
Phone: (618) 895-2241
Get Directions

VILLAGE OF WAYNE CITY is a land transport ambulance in Wayne City, IL. VILLAGE OF WAYNE CITY NPI is 1750436002. The provider is registered as an organization entity type.
The provider Other Name Is Wayne City Ambulance Service.

The provider's business location address is:

103 MILL STREET
WAYNE CITY, IL
ZIP 62895-176
Phone: (618) 895-2241
Fax: (618) 895-2241

The provider's authorized official is Vickie L Slater .
The authorized official title is Village Of Wayne Clerk and has the following contact phone number (618) 895-2241.

The CLIA number assigned to this NPI record is 14D2238964 - other - facility staff with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/17/2012.

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	55160	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	4351483	OTHER		CIGNA
2	096320212	OTHER		BLUECROSS BLUESHIELD
3	115266	OTHER		HEALTHLINK
4	233450	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
5	=========01	MEDICAID	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: 4/28/2024

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