Alexis North Henderson Ambulance Service
Organization Active NPI Ambulance · Alexis, IL
NPI 1386733913 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1386733913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 02 2504 (IL)
- Legal business name
- ALEXIS NORTH HENDERSON AMBULANCE SERVICE
- Practice address
- 106 E Palmer Ave
Alexis, IL 61412-5152 - Phone
- (309) 482-6128
- Fax
- (309) 482-3417
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Anne Switzer
- Title
- President
- Phone
- (309) 221-4643
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120712000113 | IL | Part B Supplier - Ambulance Service Supplier | 9638331804 | Practice locations: Alexis, IL; North Henderson, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02 2504 | IL | Yes |
Addresses
Primary practice location
106 E Palmer Ave
Alexis, IL 61412-5152
Mailing address
PO Box 563
Alexis, IL 61412-0563
Phone (309) 482-6128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590128733 | Other | RAILROAD MEDICARE |
Other providers in Alexis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 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.