RIDGE AMBULANCE SERVICE INC (NPI# 1275570061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275570061 |
| Entity Type | Organization |
| Organization Name | RIDGE AMBULANCE SERVICE INC |
| Practice Address |
1851 Aucutt Rd Montgomery IL 60538 |
| Mailing Address |
1851 Aucutt Rd Montgomery IL 60538-1242 |
| Practice Telephone | 6307011198 |
| Practice Fax Number | 6308592737 |
| Mailing Telephone | 6307011198 |
| Mailing Fax Number | 6308592737 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | MR. RAYMOND DANIEL CALLAHAN (PRESIDENT PARAMEDIC) |
| Authorized Official Telephone | 6308982117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
7946 | IL | Transportation Services |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2252 Cornell Ave, Montgomery, IL 60538 | 6308982117 | 6308592737 |
| Street Address |
1851 AUCUTT RD |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538683313 | Criticare Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538-1242 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| 1851428114 | Lisette Tzanetakos Solomon | Internal Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-27 |
| Find all providers in zip 60538 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1295774651 | Montgomery & Countryside Fire Protection District | Ambulance | 198 S Railroad St, Montgomery, IL 60538-1420 | 2006-06-04 |
| 1285621797 | Lifestar Response of Alabama, Inc. | Ambulance | 1150 Panama St. South, Montgomery, AL 36107-2704 | 2005-09-29 |
| 1578616082 | Aurora Township Fire Protection | Ambulance | 599 Montgomery Rd, Montgomery, IL 60538-1729 | 2007-01-19 |
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| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.