MERCY AMBULANCE SERVICE LLC


Address: 1025 Campton Dr, Rockford, IL 61102-1066
Phone: 8152621213

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Office Location

Street Address 1025 CAMPTON DR
City ROCKFORD
State IL
Zip Code 61102-1066

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City ROCKFORD
Zip Code 61102

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Dataset Information

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.

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