Delavan Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

22532 Issued in IL

Legal business name

DELAVAN AMBULANCE SERVICE INC

Practice address

510 S Pine Street
Delavan, IL 61734-0747

Phone

(309) 244-7420

NPI assigned

Mar 15, 2007

Last updated

May 4, 2016By 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

Cindy Springer

Title

Treasurer

Phone

(309) 244-7420

Specialties & licenses 1

Addresses

Other identifiers 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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1396879896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "address_2": "510 S PINE STREET",
            "city": "DELAVAN",
            "state": "IL",
            "postal_code": "617340747",
            "telephone_number": "309-244-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S PINE STREET",
            "city": "DELAVAN",
            "state": "IL",
            "postal_code": "617340747",
            "telephone_number": "309-244-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAVAN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "309-244-7420"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09070738",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Carrington, M.S.
• Delavan Cusd 703
• Delavan Pediatrics, LLC
• Joseph Flint, MD
• David Knapik
• Rachel Maple, C.N.A

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.