MERCY AMBULANCE SERVICE LLC (NPI# 1275708752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275708752 |
| Entity Type | Organization |
| Organization Name | MERCY AMBULANCE SERVICE LLC |
| Practice Address |
1025 Campton Dr Rockford IL 61102-1066 |
| Practice Telephone | 8152621213 |
| Mailing Telephone | 8152621213 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-01-26 |
| Authorized Official Name | MR. ROBERT SCOTT ESMOND (PRESIDENT) |
| Authorized Official Telephone | 8152621213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
1025 CAMPTON DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61102-1066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115383 | Renee Lynn Keeney | Advanced Practice Midwife | 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 | 2011-08-08 |
| 1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
| 1801012992 | Jennifer Anne Boyd | Developmental Therapist | Nia 1515 S. Meridian Rd., Rockford, IL 61102 | 2007-04-17 |
| 1447751623 | Cynthia Uwase | Dentist | 1200 W State St, Rockford, IL 61102 | 2018-02-23 |
| 1033591847 | Jithinraj Edakkanambeth Varayil | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-29 |
| 1194106849 | Naomi Thompson | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-17 |
| 1811377617 | Serene Antoinette Bethune | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-05 |
| 1013188408 | Gary Patrick Fernando | Pediatrics | 1200 W State St, Rockford, IL 61102 | 2008-03-13 |
| 1265602130 | Martin A Ganan | Pharmacist | 1200 W State St, Pharmacy, Rockford, IL 61102 | 2008-03-07 |
| 1609173434 | Kellie J Gibbons | Registered Nurse | 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 | 2011-02-14 |
| Find all providers in zip 61102 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1790804144 | New Milford Fire Ambulance | Ambulance | 2177 Will James Rd, Rockford, IL 61109-4854 | 2007-03-28 |
| 1619036829 | Osf Lifeline Ambulance, LLC | Ambulance | 318 Roxbury Rd, Rockford, IL 61107-5090 | 2006-12-06 |
| 1013952589 | Rockford Ambulance Inc | Ambulance | 8450 Shaner Ave Ne, Rockford, MI 49341-9379 | 2006-06-18 |
| 1720050826 | City of Rockford | Ambulance | 204 S 1st St, Rockford, IL 61104-2033 | 2006-02-02 |
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| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
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| 1538618483 | Lexington Community Fire Protection District | Ambulance | 102 S Benson St, Lexington, IL 61753-1200 | 2016-10-03 |
| Find all providers with the same taxonomy | ||||
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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.