TOLEDO AREA EMERGENCY AMBULANCE SERVICE INC (NPI# 1609901883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609901883 |
| Entity Type | Organization |
| Organization Name | TOLEDO AREA EMERGENCY AMBULANCE SERVICE INC |
| Practice Address |
160 Courthouse Square Toledo IL 62468-0516 |
| Mailing Address |
Po Box 516 160 Courthouse Square Toledo IL 62468-0516 |
| Practice Telephone | 2178492065 |
| Practice Fax Number | 2178492835 |
| Mailing Telephone | 2178492065 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | DONNA WHITAKER (EMS COORDINATOR) |
| Authorized Official Telephone | 2178492065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
66695 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 01633002 | 01 |
| IL | PALMETTO GBA | 590007102 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TOLEDO AREA EMERGENCY AMBULANCE SERVICE INC | 160 Counrthouse Sq, Toledo, IL 62468 |
| Street Address |
160 COURTHOUSE SQUARE |
| City | TOLEDO |
| State | IL |
| Zip Code | 62468-0516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871722751 | Adree Venatta | Family Medicine | 168 Courtyard Square, Sbl Toledo Clinic, Toledo, IL 62468 | 2009-07-13 |
| 1467660985 | Jessica Kathryn Beaumont | Pharmacist | 170 Court House Square, Toledo, IL 62468 | 2007-05-18 |
| 1386762425 | Sarah Bush Lincoln Health Center | Family Medicine | 104 Courthouse Square, Toledo, IL 62468 | 2007-03-27 |
| 1326061284 | Moore Family Stores Inc. | Pharmacy | 104 Court House Sq, Toledo, IL 62468 | 2006-07-25 |
| 1063446938 | Cumberland County | Nurse Practitioner | 200 S. Indiana St., Toledo, IL 62468-0130 | 2006-07-10 |
| 1922237619 | Cheryl Wilson | Exclusive Provider Organization | 200 N Illinois St, Toledo, IL 62468-1034 | 2009-07-02 |
| 1689206492 | Nicholas D Watkins | Physician Assistant | 104 Courthouse Sq, Toledo, IL 62468-1052 | 2020-02-10 |
| 1598012239 | Chasity Jean Dunaway | Counselor | 204 S Meridian St, Toledo, IL 62468-1225 | 2012-08-13 |
| 1114082880 | William Arthur Nebel | Pharmacist | 309 E Main St, Toledo, IL 62468-1337 | 2006-12-23 |
| 1760638621 | Jennifer Marie Phillips | Physical Therapy Assistant | 538 County Road 550 E, Toledo, IL 62468-4049 | 2008-08-12 |
| Find all providers in zip 62468 | ||||
| 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.