# SCHWARZ AMBULANCE SERVICE INC.

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

## Provider details

- **NPI number:** 1770649360
- **Authorized official:** DONALD RUSSELL (OWNER)
- **Authorized official phone:** (815) 235-2353

## Contact information

- **Practice address:** 816 S GALENA AVE, FREEPORT, IL 61032-5542
- **Practice address phone:** (815) 235-2353
- **Mailing address:** 816 S GALENA AVE, FREEPORT, IL 61032-5542
- **Mailing address phone:** (815) 235-2353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1616904 | IL | Yes |
| 3416L0300X | Land Ambulance | 1616905 | IL | — |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08921946 | BCBS OF ILLINOIS | IL |
| 05 | — | 362962022001 | — | IL |