ALBERT W LEWIS NPI 1871677005

NPI Information

NPI: 1871677005
Provider Name: ALBERT W LEWIS
Classification: Ambulance - 341600000X
Entity Type: Individual
Address:
1305 ASH ST
BRIDGEPORT, IL
ZIP 62417
Phone: (618) 945-5858
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Albert W Lewis is an ambulance in Bridgeport, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). Albert W Lewis NPI is 1871677005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 ASH ST
BRIDGEPORT, IL
ZIP 62417-707
Phone: (618) 945-5858
Fax: (618) 945-5313

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/9/2007.

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	341600000X	Ambulance		5 5232	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	551380	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	AMBULANCE SERVICE
2	371386411001	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

NPI Synchronization or Removal

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