| Organization Name: | BUNKER HILL AREA AMBULANCE SERVICE, INC. |
| NPI Number: | 1205180569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK E VAUGHN (BOARD PRESIDENT) |
| Mailing Address: | 123 S Washington Bunker Hill |
| State: | IL US |
| Postal Code: | 62014 |
| Phone Number: | 6185852500 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2012 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | 043617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |