Loyola University Air Ambulance

LBN: Loyola University Medical Center
Loyola University Air Ambulance is an health care organization with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. The organization recently has only one registered license in Transportation Services / Air Transport, which is considered as the primary health care specialty. Loyola University Medical Center can be contacted via phone (708) 216-0469, or through Mordach, John P via phone (708) 216-4252.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-0469
Fax: (708) 216-0593
Website:
Map and Directions
Authorized official contact:
Name: Mordach, John P
Phone: (708) 216-4252

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Air Transport 3416A0800X 8 825001 Illinois

Profile Details

NPI number 1528112794
LBN Legal business name Loyola University Medical Center
DBA Doing business as Loyola University Air Ambulance
Authorized official Mordach, John P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 7th, 2010 - about 15 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 1528112794 NPPES
Illinois Other 0500 BLUE CROSS
Illinois MEDICAID 364015560004 BLUE CROSS

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