Forman Ambulance Service in Manito - Air Transport
Forman Ambulance Service - NPI 1700871910
Forman Ambulance Service is a Air Transport in Manito, Illinois. Forman Ambulance Service practices all healthcare services and medical treatments related to Air Transport. The NPI Number for Forman Ambulance Service is 1700871910. The last update date is 2023-05-11.
Forman Ambulance Service's current location address is Po Box 648, Manito, Illinois. You can contact this provider via phone number 3099686902 and fax number 3099686649. The mailing address for Forman Ambulance Service is Po Box 648, Manito, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forman Ambulance Service |
|---|---|
| Address | Po Box 648, Manito, Illinois |
| Phone Number | 3099686902 |
| Fax Number | 3099686649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Bortell Kaye Sheron |
| Telephone Number | 3099686902 |
NPI Number Detail
| NPI Number | 1700871910 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2023-05-11 |
Provider Mailing Address Detail
| Address | Po Box 648 |
|---|---|
| City | Manito |
| State | Illinois (IL) |
| Post Code | 615460648 |
| Phone Number | 3099686902 |
| Fax Number | 3099686649 |
Provider's Primary Taxonomy Detail
| Speciality | Air Transport |
|---|---|
| Taxonomy | 3416A0800X |
| Licence No | 1660298 |
|
Definition: Provides emergency patient transportation by helicopter or fixed-wing aircraft equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 237154244001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Forman Ambulance Service by the Centers for Medicare & Medicaid Services?
The Forman Ambulance Service has been issued the NPI (National Provider Identifier) 1700871910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Forman Ambulance Service is geographically located?
The Forman Ambulance Service is physically situated at the following location: Po Box 648, Manito, IL, 615460648.
What is Forman Ambulance Service's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Forman Ambulance Service is Air Transport, and the taxonomy code that classifies this field of practice is 3416A0800X.
On what date did the Forman Ambulance Service receive its 1700871910 assignment from the Centers for Medicare & Medicaid Services?
The Forman Ambulance Service was assigned its 1700871910 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details pertaining to Forman Ambulance Service last refreshed?
The information related to the Forman Ambulance Service, including its address, specialty, and other relevant details, was last updated on 2023-05-11.