| Organization Name: | DELAVAN AMBULANCE SERVICE INC |
| NPI Number: | 1396879896 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY SPRINGER (TREASURER) |
| Mailing Address: | 510 S Pine Street Delavan |
| State: | IL US |
| Postal Code: | 617340747 |
| Phone Number: | 3092447420 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 22532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |