Organization Active NPI

American Ambulance LLC

  • Land Ambulance
  • Oswego, IL
National Provider Identifier
1770905390
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2620-01 Issued in IL
Legal business name
AMERICAN AMBULANCE LLC
Practice address
1559 Route 34
Oswego, IL 60543-8524
Phone
(815) 476-2335
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Mr. Mueen Almusa
Title
Owner
Phone
(312) 636-9093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2620-01 IL Primary

Addresses

Primary practice location

1559 Route 34
Oswego, IL 60543-8524

Mailing address

1559 Route 34
Oswego, IL 60543-8524
Phone (815) 476-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402000606 IL Part B Supplier - Ambulance Service Supplier 4082845284 Practice locations: Brookfield, IL; Oswego, IL

National Provider Directory

National Provider Directory

Locations

8912 47th St
Brookfield, IL 60513
Phone (708) 854-6093

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1770905390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438524",
            "telephone_number": "815-476-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438524",
            "telephone_number": "815-476-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "ALMUSA",
        "authorized_official_first_name": "MUEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-636-9093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "2620-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.