Decatur Ambulance Service, Inc. in Decatur - Land Transport

Decatur Ambulance Service, Inc. - NPI 1174513485

Decatur Ambulance Service, Inc. is a Land Transport in Decatur, Illinois. Decatur Ambulance Service, Inc. practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Decatur Ambulance Service, Inc. is 1174513485. The last update date is 2020-08-22.

Decatur Ambulance Service, Inc.'s current location address is 417 W Wood St, Decatur, Illinois. You can contact this provider via phone number 2174288641 and fax number 2173625898. The mailing address for Decatur Ambulance Service, Inc. is 417 W Wood St, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Decatur Ambulance Service, Inc.
Address 417 W Wood St, Decatur, Illinois
Phone Number 2174288641
Fax Number 2173625898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP-ADMINIS
Authorized Official Name Krause A David
Telephone Number 2173625931

NPI Number Detail

NPI Number 1174513485
Provider Enumeration Date 2005-10-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 417 W Wood St
City Decatur
State Illinois (IL)
Post Code 625223109
Phone Number 2174288641
Fax Number 2173625898

Provider's Primary Taxonomy Detail

Speciality Land Transport
Taxonomy 3416L0300X
Licence No 66510
Definition:
Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5890002 IL BLUE CROSS BLUE SHEILD

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FAQs about Decatur Ambulance Service, Inc.

What is the unique identifier code issued to Decatur Ambulance Service, Inc. by the Centers for Medicare & Medicaid Services?

The Decatur Ambulance Service, Inc. has been assigned the NPI (National Provider Identifier) 1174513485. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Decatur Ambulance Service, Inc.'s facilities are situated?

The facilities of Decatur Ambulance Service, Inc. are physically located at the following address: 417 W Wood St, Decatur, IL, 625223109.

What is Decatur Ambulance Service, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Decatur Ambulance Service, Inc. is Land Transport, and the taxonomy code that categorizes this field of expertise is 3416L0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174513485 to Decatur Ambulance Service, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1174513485 to Decatur Ambulance Service, Inc. on 2005-10-27.

When was the information regarding Decatur Ambulance Service, Inc. most recently updated?

The details pertaining to the Decatur Ambulance Service, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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