Decatur Ambulance Service, Inc.

LBN: Decatur Ambulance Service, Inc.
Decatur Ambulance Service, Inc. is an health care organization with primary practice located at 417 W Wood St , Decatur IL 62522-3109. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Decatur Ambulance Service, Inc. can be contacted via phone (217) 428-8641, or through Krause, David A via phone (217) 362-5931.

Contact Information

Primary practice address
417 W Wood St Decatur IL 62522-3109
Phone: (217) 428-8641
Fax: (217) 362-5898
Website:
Map and Directions
Authorized official contact:
Name: Krause, David A
Phone: (217) 362-5931

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 66510 Illinois

Profile Details

NPI number 1174513485
LBN Legal business name Decatur Ambulance Service, Inc.
DBA Doing business as
Authorized official Krause, David A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174513485 NPPES
Illinois Other 5890002 BLUE CROSS BLUE SHEILD

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