MVK Ambulance Service
Organization Active NPI Ambulance · Mazon, IL
NPI 1295809739 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1295809739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 792201 (IL)
- Legal business name
- MVK AMBULANCE SERVICE
- Practice address
- 604 Front St
Mazon, IL 60444 - Phone
- (815) 448-2134
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Tamara Halterman
- Title
- Coordinator
- Phone
- (815) 448-2134
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 792201 | IL | Yes |
Addresses
Primary practice location
604 Front St
Mazon, IL 60444
Mailing address
PO Box 316
Mazon, IL 60444-0316
Phone (815) 448-2134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3221361 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Mazon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.