Active NPI
10 33 Ambulance Service Limited
- Land Ambulance
- Spring Valley, IL
National Provider Identifier
1124070263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2896
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060619000015 | IL | Part B Supplier - Ambulance Service Supplier | 6406868207 | Practice locations: Spring Valley, IL |
National Provider Directory
National Provider DirectoryLocations
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.