Warren Area Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WARREN AREA AMBULANCE SERVICE

Practice address

103 W Main St
Warren, IL 61087

Phone

(815) 745-2841

Fax

(815) 745-2841

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roger Kent

Title

Board President

Phone

(815) 291-0007

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1144234576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST, PO BOX 416",
            "city": "WARREN",
            "state": "IL",
            "postal_code": "61087",
            "telephone_number": "815-745-2841",
            "fax_number": "815-745-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "WARREN",
            "state": "IL",
            "postal_code": "61087",
            "telephone_number": "815-745-2841",
            "fax_number": "815-745-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "815-291-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004370499",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Warren, IL
• Providers in Warren, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.