Lovington Community Ambulance Service Inc
Organization Active NPI Land Ambulance · Lovington, IL
NPI 1265613657 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1265613657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- LOVINGTON COMMUNITY AMBULANCE SERVICE INC
- Practice address
- 127 West State Street
Lovington, IL 61937 - Phone
- (309) 687-5600
- Fax
- (309) 687-5640
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Donna J Vala
- Title
- Billing Agent
- Phone
- (309) 691-4400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120424000179 | IL | Part B Supplier - Ambulance Service Supplier | 9133381940 | Practice locations: Lovington, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
127 West State Street
Lovington, IL 61937
Mailing address
2938 W Parkwood Dr
Peoria, IL 61614-2476
Phone (309) 691-4400
Other providers in Lovington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.