Peoria Heights Ambulance Service

LBN: Village Of Peoria Heights
Peoria Heights Ambulance Service is an health care organization with primary practice located at 4901 N Prospect Rd , Peoria Heights IL 61616-5397. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Village Of Peoria Heights can be contacted via phone (309) 686-2370, or through Marotta, James via phone (309) 686-2386.

Contact Information

Primary practice address
4901 N Prospect Rd Peoria Heights IL 61616-5397
Phone: (309) 686-2370
Fax: (309) 682-3089
Website:
Map and Directions
Authorized official contact:
Name: Marotta, James
Phone: (309) 686-2386

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 22572 Illinois

Profile Details

NPI number 1427186584
LBN Legal business name Village Of Peoria Heights
DBA Doing business as Peoria Heights Ambulance Service
Authorized official Marotta, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 23rd, 2012 - about 12 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 1427186584 NPPES
Illinois Other 590006195 RAILROAD MEDICARE
Illinois Other 07232092 RAILROAD MEDICARE

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