HEYWORTH AMBULANCE SERVICE (NPI# 1619019072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619019072 |
| Entity Type | Organization |
| Organization Name | HEYWORTH AMBULANCE SERVICE |
| Practice Address |
707 S Vine St Heyworth IL 61745-0258 |
| Mailing Address |
Po Box 258 707 S Vine St Heyworth IL 61745-0258 |
| Practice Telephone | 3094732149 |
| Practice Fax Number | 3094732473 |
| Mailing Telephone | 3094732149 |
| Mailing Fax Number | 3094732473 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | JUDY MOWERY (EMS CAPTAIN) |
| Authorized Official Telephone | 3092613126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
26737 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PALMETTO GBA | 590013395 | 01 |
| Street Address |
707 S VINE ST |
| City | HEYWORTH |
| State | IL |
| Zip Code | 61745-0258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1245226653 | Russell John Maas | Chiropractor | 117 B East Main St, Heyworth, IL 61745 | 2005-09-21 |
| 1861669475 | Maas Chiropractic Center Incorporated | Chiropractor | 117 E Main St, Heyworth, IL 61745-7647 | 2008-05-13 |
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1003328741 | Molly Lynn Post | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-11-03 |
| 1063928430 | Mary Theresa Vandiver | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-12-21 |
| 1982013090 | Kimberly Weber | Physical Therapist | 400 Trotter Dr, Heyworth, IL 61745-9212 | 2014-08-04 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1730235102 | Community Unit School Dist 4 | Local Education Agency (LEA) | 522 E Main St, Heyworth, IL 61745-9694 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1003328741 | Molly Lynn Post | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-11-03 |
| 1982013090 | Kimberly Weber | Physical Therapist | 400 Trotter Dr, Heyworth, IL 61745-9212 | 2014-08-04 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1245226653 | Russell John Maas | Chiropractor | 117 B East Main St, Heyworth, IL 61745 | 2005-09-21 |
| 1063928430 | Mary Theresa Vandiver | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-12-21 |
| 1861669475 | Maas Chiropractic Center Incorporated | Chiropractor | 117 E Main St, Heyworth, IL 61745-7647 | 2008-05-13 |
| 1730235102 | Community Unit School Dist 4 | Local Education Agency (LEA) | 522 E Main St, Heyworth, IL 61745-9694 | 2007-01-26 |
| 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 |
|---|---|---|---|---|
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
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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.