Moweaqua Community Ambulance Service
Organization Active NPI Ambulance · Moweaqua, IL
NPI 1649301326 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1649301326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 669201 (IL)
- Legal business name
- MOWEAQUA COMMUNITY AMBULANCE SERVICE
- Practice address
- 120 W Wall St
Moweaqua, IL 62550-1158 - Phone
- (217) 768-3313
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James Jordan
- Title
- President
- Phone
- (217) 768-3487
National Provider Directory
Locations
120 W Wall St
Moweaqua, IL 62550
Phone (217) 768-3313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 669201 | IL | Yes |
Addresses
Primary practice location
120 W Wall St
Moweaqua, IL 62550-1158
Mailing address
PO Box 85
Moweaqua, IL 62550-0085
Other providers in Moweaqua, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.