Bye Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

000002569 Issued in IL

Legal business name

BYE AMBULANCE SERVICE INC

Practice address

108 E Hawthorne
Elmwood, IL 61529-7977

Phone

(309) 682-5280

Fax

(309) 682-5327

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Lewis Sprecher

Title

President

Phone

(309) 358-1352

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1174664551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "address_2": "108 E HAWTHORNE",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615297977",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HAWTHORNE",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615297977",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SPRECHER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-358-1352"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "000002569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00101008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07232090",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.