AKRON PRINCEVILLE AMBULANCE INC (NPI# 1407030448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407030448 |
Entity Type | Organization |
Organization Name | AKRON PRINCEVILLE AMBULANCE INC |
Practice Address |
319 E Main Street Princeville IL 61559-0021 |
Mailing Address |
Po Box 21 319 E Main Street Princeville IL 61559-0021 |
Practice Telephone | 3096825280 |
Practice Fax Number | 3096825327 |
Mailing Telephone | 3096825280 |
Mailing Fax Number | 3096825327 |
Enumeration Date | 2007-12-27 |
Last Update Date | 2012-03-29 |
Authorized Official Name | ALFRED GARDNER (BOARD PRESIDENT) |
Authorized Official Telephone | 3096825280 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
000002611 | IL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PALMETTO GBA | 590004694 | 01 | |
IL | BLUE CROSS BLUE SHIELD | 07232089 | 01 |
Street Address |
319 E MAIN STREET |
City | PRINCEVILLE |
State | IL |
Zip Code | 61559-0021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972924751 | Dana Mareachen | Speech-Language Pathologist | 302 North Town Avenue, Princeville, IL 61559 | 2013-12-23 |
1942528310 | Methodist Medical Center of Illinois | Clinic/Center | 223 E Main St, Princeville, IL 61559 | 2010-05-11 |
1841808821 | Community Health Partnership of Illinois | Clinic/Center | 112 E Main St, Princeville, IL 61559-7510 | 2020-07-16 |
1801087051 | Bradley Allen Horack | Chiropractor | 132 E Main St, Princeville, IL 61559-7510 | 2007-08-05 |
1750455127 | Princeville Pharmacy LLC | Pharmacy | 206 E Main St, Princeville, IL 61559-7516 | 2006-11-20 |
1215552799 | Robert Joseph Peters | Social Worker | 13226 W Legion Hall Rd, Princeville, IL 61559-9151 | 2020-06-10 |
1831384494 | Mark S Holder | Pediatrics | 11607 N Evans Mill Rd, Princeville, IL 61559-9179 | 2007-09-07 |
1336767540 | Community Health Partnership of Illinois | Clinic/Center | 223 E Main St, Princeville, IL 61559-9654 | 2020-07-14 |
1760958813 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 223 E Main St, Princeville, IL 61559-9654 | 2018-10-16 |
1447267711 | Joshua Schupbach | Family Medicine | 223 E Main St, Princeville, IL 61559-9654 | 2006-08-01 |
Find all providers in zip 61559 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
Find all providers with the same taxonomy |
City | PRINCEVILLE |
Zip Code | 61559 |
Please comment or provide details below to improve the information on AKRON PRINCEVILLE AMBULANCE INC.
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.