HENRY COMMUNITY AMBULANCE SERVICE (NPI# 1770673170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770673170 |
Entity Type | Organization |
Organization Name | HENRY COMMUNITY AMBULANCE SERVICE |
Practice Address |
216 Railroad Ave Henry IL 61537-1325 |
Practice Telephone | 3093643323 |
Practice Fax Number | 3093643320 |
Mailing Telephone | 3093643323 |
Mailing Fax Number | 3093643320 |
Enumeration Date | 2006-10-14 |
Last Update Date | 2012-03-23 |
Authorized Official Name | MRS. SARAH E BOGNER (DIRECTOR) |
Authorized Official Telephone | 3093643323 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
22530 | IL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RAILROAD MEDICARE | 590003294 | 01 |
Street Address |
216 RAILROAD AVE |
City | HENRY |
State | IL |
Zip Code | 61537-1325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508941667 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 808 University Avenue, Henry, IL 61537 | 2006-10-26 |
1730141854 | David A Forbes | Chiropractor | 322 Edward Street, Henry, IL 61537 | 2006-04-04 |
1669804811 | Country Comfort Retirement Homes, Inc | Assisted Living Facility | 615 Patricia Ln, Henry, IL 61537-1037 | 2013-07-30 |
1225230790 | Henry Senachwine Cusd 5 | Local Education Agency (LEA) | 1023 College St, Henry, IL 61537-1074 | 2007-06-05 |
1326142902 | Thaw Tun | Internal Medicine | 528 Edward St, Henry, IL 61537-1218 | 2006-09-12 |
1871651554 | Dr Richard P June Dds PC | Dentist | 309 Edward St, Henry, IL 61537-1501 | 2006-12-05 |
1437594793 | Richard Paul June | Dentist | 309 Edward St, Henry, IL 61537-1501 | 2013-05-01 |
1376844027 | Brian J Luckey | Chiropractor | 322 Edward St, Henry, IL 61537-1502 | 2010-11-11 |
1083991426 | Luckey Chiropractic Center Inc. | Chiropractor | 322 Edward St, Henry, IL 61537-1502 | 2011-11-14 |
1154628840 | David A. Forbes, Dc,pc | Clinic/Center | 322 Edward St, Henry, IL 61537-1502 | 2011-02-16 |
Find all providers in zip 61537 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.