Vandenberg Ambulance
LBN: Blackhawk Medical Transportation, Inc.
Vandenberg Ambulance is an health care organization with primary practice located at 8400 183Rd Pl , Tinley Park IL 60477-9268. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty.
Blackhawk Medical Transportation, Inc. can be contacted via phone (708) 532-1613, or through Vandenberg, Christopher J via phone (708) 532-1613.
Contact Information
Primary practice address
8400 183Rd Pl
Tinley Park IL 60477-9268
Phone: (708) 532-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Land Transport | 3416L0300X | 8959 | Illinois |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 3459 | Illinois |
Profile Details
| NPI number | 1427005347 |
|---|---|
| LBN Legal business name | Blackhawk Medical Transportation, Inc. |
| DBA Doing business as | Vandenberg Ambulance |
| Authorized official | Vandenberg, Christopher J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Jan 23rd, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427005347 | NPPES |
| Illinois | Other | 8100050 | UNITED HEALTHCARE |
| Illinois | Other | 0004598029 | UNITED HEALTHCARE |
| Illinois | Other | 0009932136 | UNITED HEALTHCARE |
| Illinois | Other | 590013754 | UNITED HEALTHCARE |
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