# NORTHWESTERN AREA AMBULANCE RESCUE SERVICE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770634438
- **Authorized official:** GENE LUTTERL (FIRE CHIEF)
- **Authorized official phone:** (217) 436-2015

## Contact information

- **Practice address:** 114 E STATE, PALMYRA, IL 62674
- **Practice address phone:** (217) 436-2015
- **Practice address fax:** (217) 436-2015
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3435 | IL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5932014 | BCBS | IL |