10 33 Ambulance Service Limited

Organization Active NPI Land Ambulance · Spring Valley, IL

NPI 1124070263 · NPPES record last updated Jun 6, 2011

Key facts

NPI
1124070263
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
2896 (IL)
Legal business name
10 33 AMBULANCE SERVICE LIMITED
Practice address
3 Wolfer Industrial Park
Spring Valley, IL 61362-9601
Phone
(815) 664-2032
Fax
(815) 663-1035
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Bob Hoscheid, EMT-P
Title
Managing Director
Phone
(815) 663-6683

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060619000015 IL Part B Supplier - Ambulance Service Supplier 6406868207 Practice locations: Spring Valley, IL

National Provider Directory

Locations

3 Wolfer Industrial Park
Spring Valley, IL 61362
Phone (815) 664-2032

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2896 IL Yes

Addresses

Primary practice location

3 Wolfer Industrial Park
Spring Valley, IL 61362-9601

Mailing address

3 Wolfer Industrial Park
Spring Valley, IL 61362-9601
Phone (815) 664-2032

Other providers in Spring Valley, IL

All providers in Spring Valley, IL · Land Ambulance in Illinois

Sources for this page

Verify at the official NPI Registry.