Organization Active NPI

10 33 Ambulance Service Limited

  • Land Ambulance
  • Spring Valley, IL
National Provider Identifier
1124070263
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2896 Issued in 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
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1124070263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOLFER INDUSTRIAL PARK",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613629601",
            "telephone_number": "815-664-2032",
            "fax_number": "815-663-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOLFER INDUSTRIAL PARK",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613629601",
            "telephone_number": "815-664-2032",
            "fax_number": "815-663-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10 33 AMBULANCE SERVICE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "HOSCHEID",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "815-663-6683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.