NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC (NPI# 1770634438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770634438 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC |
| Practice Address |
114 E State Palmyra IL 62674 |
| Mailing Address |
Po Box 457 Wheeling IL 60090-0457 |
| Practice Telephone | 2174362015 |
| Practice Fax Number | 2174362015 |
| Mailing Telephone | 8475778811 |
| Mailing Fax Number | 8475773518 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | GENE LUTTERL (FIRE CHIEF) |
| Authorized Official Telephone | 2174362015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
3435 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 5932014 | 01 |
| Street Address |
114 E STATE |
| City | PALMYRA |
| State | IL |
| Zip Code | 62674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598901563 | Lisa Carolyn Cox | Specialist | 30940 Four Corner Rd, Palmyra, IL 62674-4506 | 2008-12-22 |
| 1467077537 | Rebbecca Camerer | Nurse Practitioner | 412 W Locust St, Palmyra, IL 62674-4538 | 2020-06-14 |
| 1649472119 | Northwestern Cu Sch Dist 2 | Local Education Agency (LEA) | 30953 Route 111, Palmyra, IL 62674-6304 | 2007-06-05 |
| 1396107587 | Ruth Renee Holley | Nurse Practitioner | 28747 Concord Rd, Palmyra, IL 62674-6432 | 2016-03-25 |
| 1497977623 | Kay Alborn Weller | Developmental Therapist | 30746 Robin Rd, Palmyra, IL 62674-6644 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507955 | Jessie Hubright | Registered Nurse | 4634 S Creek Rd, Palmyra, NY 14522-9728 | 2020-10-29 |
| 1255947503 | Brittany Leigh Sanders | Social Worker | 46 Woodlawn Dr, Palmyra, VA 22963-2732 | 2020-09-22 |
| 1487269759 | Stephanie Elizabeth Petersen | Social Worker | 153 Salzburg Vlg, Palmyra, NY 14522-1343 | 2020-09-13 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1720699457 | Rebecca Lee Riddle-whitlow | Social Worker | 13623 James Madison Hwy, Palmyra, VA 22963-4300 | 2020-08-14 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1255942017 | Mary Kendt | Registered Nurse | 250 Johnson St Apt 5d, Palmyra, NY 14522-1452 | 2020-08-13 |
| 1366053605 | Byam Counseling LLC | Counselor | 86 Joshua Ln, Palmyra, VA 22963-6208 | 2020-08-11 |
| 1023628922 | Wendy Childs | Dietitian, Registered | 724 Parry Ave, 1st Floor, Palmyra, NJ 08065 | 2020-08-05 |
| Find all providers in PALMYRA | ||||
| 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 |
|---|---|---|---|---|
| 1073889580 | Village of Palmyra | Ambulance | 126 N. First Street, Palmyra, WI 53156 | 2012-03-29 |
| 1104029115 | Palmyra Fire District | Ambulance | 126 N First Street, Palmyra, WI 53156 | 2007-06-07 |
| 1598774523 | Palmyra Rescue Service | Ambulance | 5th & C St., Palmyra, NE 68418 | 2006-08-07 |
| 1568844108 | Fluvanna County | Ambulance | 132 Main St, Palmyra, VA 22963-4179 | 2015-06-19 |
| 1972709608 | Palmyra Ambulance Assoc Inc | Ambulance | 125 W Broad St, Palmyra, NJ 08065-1626 | 2007-06-21 |
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| 1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
| 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 | ||||
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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.