Murrayville Woodson Emergency Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Murrayville, IL
NPI 1003015355 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1003015355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 33016 (IL)
- Legal business name
- MURRAYVILLE WOODSON EMERGENCY AMBULANCE SERVICE, INC.
- Practice address
- 1930 State Highway 267
Murrayville, IL 62668 - Phone
- (217) 882-3114
- Fax
- (217) 882-7091
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve Lakin
- Title
- President
- Phone
- (217) 882-3114
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120328000702 | IL | Part B Supplier - Ambulance Service Supplier | 7012177066 | Practice locations: Murrayville, IL |
National Provider Directory
Locations
1930 Murrayville Rd
Murrayville, IL 62668
Phone (217) 882-3114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 33016 | IL | Yes |
Addresses
Primary practice location
1930 State Highway 267
Murrayville, IL 62668
Mailing address
1930 State Highway 267
Murrayville, IL 62668
Phone (217) 882-3114
Other names
- MWEAS
Other providers in Murrayville, IL
All providers in Murrayville, IL · Land Ambulance in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.