Aow Ambulance Service Inc. NFP

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2549 Issued in IL

Legal business name

AOW AMBULANCE SERVICE INC. NFP

Doing business as

Altona Oneida & Wataga Ambulance Service

Practice address

310 W. Willard Street
Wataga, IL 61488-0443

Phone

(309) 483-6365

Fax

(309) 375-9260

NPI assigned

Nov 21, 2006

Last updated

Dec 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally J. Keener

Title

Director

Phone

(309) 368-6468

Specialties & licenses 1

Addresses

Other names 1

• Altona Oneida & Wataga Ambulance Service Doing business as

Electronic endpoints 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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1396810180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "ONEIDA",
            "state": "IL",
            "postal_code": "614670443",
            "telephone_number": "309-368-6468",
            "fax_number": "309-341-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W. WILLARD STREET",
            "city": "WATAGA",
            "state": "IL",
            "postal_code": "614880443",
            "telephone_number": "309-483-6365",
            "fax_number": "309-375-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOW AMBULANCE SERVICE INC. NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-368-6468"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wataga",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Office",
            "address_1": "310 W. Willard",
            "city": "Wataga",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Altona Oneida & Wataga Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altona Oneida & Wataga Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Parkinson

• Land Ambulance in Wataga, IL
• Providers in Wataga, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.