DELAVAN AMBULANCE SERVICE INC (NPI# 1396879896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396879896 |
| Entity Type | Organization |
| Organization Name | DELAVAN AMBULANCE SERVICE INC |
| Practice Address |
510 S Pine Street Delavan IL 61734-0747 |
| Mailing Address |
Po Box 747 510 S Pine Street Delavan IL 61734-0747 |
| Practice Telephone | 3092447420 |
| Mailing Telephone | 3092447420 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | CINDY SPRINGER (TREASURER) |
| Authorized Official Telephone | 3092447420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
22532 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 09070738 | 01 |
| Street Address |
510 S PINE STREET |
| City | DELAVAN |
| State | IL |
| Zip Code | 61734-0747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245415199 | Phillip Pawson | General Practice | 402 Pine St., Delavan, IL 61734 | 2008-01-09 |
| 1578598108 | Sharshon Pharmacy Inc | Pharmacy | 402 Pine St, Delavan, IL 61734-7575 | 2006-07-12 |
| 1326495623 | Zzz | Pharmacy | 402 Pine St, Delavan, IL 61734-7575 | 2016-05-17 |
| 1063901106 | Jessica Danielle Maquet | Student in an Organized Health Care Education/Training Program | 205 Heritage Ct, Delavan, IL 61734-9207 | 2018-05-03 |
| 1427250984 | Delavan Cusd 703 | Local Education Agency (LEA) | 907 Locust St, Delavan, IL 61734-9231 | 2007-06-05 |
| 1982867479 | Sandra Lynn Carrington | Speech-Language Pathologist | 220 N Pine St, Delavan, IL 61734-9287 | 2008-07-06 |
| 1114581998 | Rachel Anne Yontz | Speech-Language Pathologist | 2 Kemp St, Delavan, IL 61734-9305 | 2019-04-26 |
| 1144763244 | Rachel Maple | Nurse's Aide | 608 E 8th St, Delavan, IL 61734-9312 | 2016-11-22 |
| 1417475419 | David Knapik | Speech-Language Pathologist | 501 E 2nd St, Delavan, IL 61734-9617 | 2017-08-30 |
| 1013064195 | Joseph Flint | Pediatrics | 101 E 5th St, Delavan, IL 61734-9619 | 2007-01-04 |
| Find all providers in zip 61734 | ||||
| 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 |
|---|---|---|---|---|
| 1912950270 | Delavan Rescue Squad, Inc. | Ambulance | 651 Ann St, Delavan, WI 53115-1840 | 2006-05-18 |
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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.