| Organization Name: | LEROY EMERGENCY AMBULANCE SERVICE INC |
| NPI Number: | 1528106366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL RAFFERTY (ASSISTANT ADMINISTRATOR) |
| Mailing Address: | 110 S East St Le Roy |
| State: | IL US |
| Postal Code: | 617521897 |
| Phone Number: | 3099626114 |
| Fax Number: | 3099625054 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 36734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |