Hanover Ambulance, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

HANOVER AMBULANCE, INC

Practice address

10 Fox Street
Hanover, IL 61041

Phone

(815) 591-3767

NPI assigned

Aug 1, 2006

Last updated

Oct 14, 2008By 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

Marcia Hanson

Title

Secretary of Emt

Phone

(815) 591-3767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1528075850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 13TH AVE E",
            "address_2": "SUITE 6",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463675",
            "telephone_number": "218-263-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOX STREET",
            "city": "HANOVER",
            "state": "IL",
            "postal_code": "61041",
            "telephone_number": "815-591-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "SECRETARY OF EMT",
        "authorized_official_telephone_number": "815-591-3767"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004370616",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Ditsworth, MA-CCC/SLP
• River Ridge Comm SCH Dist 210

• Ambulance in Hanover, IL
• Providers in Hanover, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.