Edward Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

088967 Issued in IL

Legal business name

EDWARD AMBULANCE SERVICES LLC

Practice address

1701 Quincy Ave
Ste 13
Naperville, IL 60540-3955

Phone

(630) 548-1572

NPI assigned

Oct 6, 2011

Last updated

Oct 6, 2011By 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

Mr. Jamey Baker

Title

Ceo

Phone

(248) 304-6023

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Edward Hospital

  dba Endeavor Health Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1427069632

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daryl D Wilson, M.D.

  • Emergency Medicine Physician
  • Addison, IL
  • NPI 1346309150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1457635674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE",
            "address_2": "STE 13",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403955",
            "telephone_number": "630-548-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE",
            "address_2": "STE 13",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403955",
            "telephone_number": "630-548-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JAMEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-304-6023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "088967",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "088967",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "088967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edegwood Clincial Services
• Michael Edgar
• Edgewood Clinical Services, P.C. (LifeStance)
• Edgewood Clinical Services, P.C. (LifeStance)
• Edv Inc. (Homewatch CareGivers)
• Edward Cardiovascular Institute
• Edward Health Services Corporation
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.