Organization Name: | HOOPESTON COMMUNITY AMBULANCE SERVICE |
NPI Number: | 1437490356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY SAPP (DIRECTOR) |
Mailing Address: | 701 E Orange St Hoopeston |
State: | IL US |
Postal Code: | 609421801 |
Phone Number: | 2173563429 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 06 675202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |